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Oregon 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
$67.61 / $69.18 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $67.61 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $138.04 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $173.78 / $208.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $69.18 / $100.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $234.42 / $295.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $69.18 / $104.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $125.89 / $125.89