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Indiana rates for HCPCS C9363

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.76 / $64.76 / $64.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.76 / $64.76 / $65.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $13.63 / $61.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.81 / $85.81 / $41,999.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.81 / $85.81 / $85.81
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