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Wisconsin 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
$64.76 / $64.76 / $64.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.76 / $64.76 / $68.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $39.64 / $61.95
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
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.76 / $64.76 / $97.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.76 / $65.56 / $97.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.32 / $325.32 / $325.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.76 / $64.76 / $97.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,900.00 / $5,900.00 / $5,900.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.81 / $85.00 / $321.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $81.30 / $325.32