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New Hampshire 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
$68.81 / $68.81 / $82.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.56 / $68.81 / $68.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.64 / $26.64 / $26.64
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $90.83 / $103.22