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Missouri 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
$64.57 / $3,801.89 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $67.61 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $79.43 / $186.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59