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South Dakota rates for HCPCS C9363

Skin substitute (Integra Meshed Bilayer Wound Matrix), per sq cm

Facilitymedian $79 · 10th–90th $55–$1450%20%40%10th90th$79Professionalmedian $69 · 10th–90th $65–$790%50%10th90th$69$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $79.43 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $67.61 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $181.97
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $109.65 / $144.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $169.82 / $204.17