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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
$68.81 / $68.81 / $68.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.76 / $67.19 / $80.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.81 / $137.62 / $137.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $68.81 / $68.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $175.00 / $194.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.19 / $67.19 / $144.46
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.19 / $70.55 / $144.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $68.81 / $2,400,000.00