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New Jersey 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 / $4,164.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.86 / $67.19 / $68.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $68.81 / $86.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $68.81 / $68.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $16.63 / $17.61