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West Virginia 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 / $68.81 / $68.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,999.67 / $44,999.55 / $44,999.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.81 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $68.81 / $68.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,406.15 / $28,406.15 / $28,406.15