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Iowa rates for HCPCS C9363

Skin substitute (Integra Meshed Bilayer Wound Matrix), per sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.76 / $64.76 / $68.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.04 / $36.04 / $38.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.02 / $68.81 / $68.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $275.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.76 / $72.53 / $321.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.32 / $325.32 / $325.32