go back

Ohio 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 / $635.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.76 / $64.76 / $68.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $26.64 / $61.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.81 / $59,702.01 / $59,702.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $68.81 / $68.81
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
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $68.81 / $80.95