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Nebraska 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 / $144.54 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $67.61 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $190.55 / $229.09
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 / $97.72 / $128.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $204.17 / $309.03