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Kentucky 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 / $67.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $13.63 / $26.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,499.57 / $50,749.49 / $83,999.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,499.57 / $47,249.53 / $50,749.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.81 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $68.81 / $68.81