go back

Minnesota 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
$64.76 / $67.19 / $80.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.97 / $1.00 / $33.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.01 / $347.56 / $540.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $68.81 / $68.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.76 / $80.95 / $136.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.32 / $325.32 / $325.32