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South Dakota rates for HCPCS C9363

Skin Substitute Integra Meshed Bilayer Wound Matrix Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.95 / $80.95 / $80.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $80.95 / $80.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.61 / $40.61 / $40.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $68.81 / $68.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.51 / $118.64 / $136.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.32 / $325.32 / $325.32