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Louisiana 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
$80.95 / $80.95 / $80.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.56 / $80.95 / $80.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.76 / $40.40 / $54.32
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