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Arizona rates for HCPCS C9363

Skin Substitute Integra Meshed Bilayer Wound Matrix Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.56 / $161.90 / $161.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.76 / $65.56 / $68.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.92 / $129.75 / $320.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.78 / $68.65 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.81 / $68.81 / $68.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $68.81 / $68.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.56 / $72.13 / $138.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.32 / $325.32 / $325.32