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Integra Bilayer Matrix Wound Dressing

Virginia rates for HCPCS Q4104

Integra bilayer matrix wound dressing (BMWD), per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does Integra Bilayer Matrix Wound Dressing cost?

$53.70

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $53.70 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$53.70$51.29 to $81.28
FacilityA hospital or hospital-owned outpatient department$53.70$51.29 to $81.28

How much rates vary

Facilitymedian $54 · 10th to 90th $51 to $182Professionalmedian $54 · 10th to 90th $51 to $126
$2.0$10.0$50.0$200.0facility $54professional $54

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$114.82
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$239.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Medcost
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$53.70
Typical High
$93.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$109.65
Sentara
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$64.57
Typical High
$79.43
Sentara
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$64.57
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$125.89

Where Virginia sits

The same service costs 2.0 times more in Minnesota than in Tennessee. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $53.70 · 17th of 51
MN $102TN $51.29

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.