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Utah 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
$67.19 / $67.19 / $67.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.56 / $67.19 / $69.62
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.38 / $42.38 / $46.33