Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Low
$105
Average
$372
Median
$372
High
$639
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2 hospital rates
iThe hospitals that file a Bcbs Il rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $639 | $639 | — | — | — | $639 – $639 |
| 2 | Kirby Medical Center Monticello, IL professional · fee schedule · both | 2 | $105 | $105 | $12 | 11% | — | $93 – $116 |
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