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Maine 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
$67.19 / $68.81 / $70.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $26.64 / $39.64
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
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $68.81 / $68.81