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Integra Matrix

Montana rates for HCPCS Q4108

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

Rates data updated July 2026.

How much does Integra Matrix cost?

$50.12

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $52.48 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 5 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$44.67$41.69 to $64.57
FacilityA hospital or hospital-owned outpatient department$52.48$50.12 to $61.66

How much rates vary

Facilitymedian $52 · 10th to 90th $40 to $135Professionalmedian $45 · 10th to 90th $39 to $126
$20$50$100$200facility $52professional $45

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
Professional
Modifier
Global
Typical Low
$38.90
Median
$42.66
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$125.89
Typical High
$125.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$52.48
Typical High
$87.10
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$52.48
Typical High
$87.10
Providence
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$51.29
Typical High
$181.97
Providence
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$74.13
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Montana sits

The same service costs 2.6 times more in Minnesota than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 9th of 51

$50.12

MN $102TX $38.90

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.