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North Dakota 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 / $67.19 / $80.95
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 / $64.76 / $110.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.32 / $325.32 / $325.32