C9363 Medicaid Rate by State

Skin substitute, integra meshed bilayer wound matrix, per square centimeter

10 state Medicaid programs publish a fee-for-service rate for C9363 (skin substitute, integra meshed bilayer wound matrix, per square centimeter), ranging from $14.30 in California to $127.14 in Montana.

Every state, kept current

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This page shows one representative rate per state for C9363. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

10

Median % of Medicare

--

Rate range

$14.30 - $127.14

C9363 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$76.90----2026
California$14.30----2026
Kentucky$124.11----2026
Michigan$66.49----2026
Minnesota$28.88----2013
Missouri$112.18--Not required2026
Montana$127.14----2026
New Mexico$19.91----2026
Rhode Island$34.79----2026
Utah$66.23*--Not required2026

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.

Related state-specific services codes

All 38 codes from C9047 to C9901 or every state-specific services code by number.

Frequently asked questions

How much does Medicaid pay for C9363?

10 state Medicaid programs publish a fee-for-service rate for C9363 (skin substitute, integra meshed bilayer wound matrix, per square centimeter), ranging from $14.30 in California to $127.14 in Montana. The full table on this page lists every publishing state's current rate.

Which state pays the most for C9363?

Montana publishes the highest Medicaid rate for C9363 at $127.14. California publishes the lowest at $14.30.

Does C9363 require prior authorization under Medicaid?

No publishing state flags C9363 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.