Highmark BCBS of NY

Submitted by Admin on
States
Oasis Wound Matrix Q4102

Commercial - DFU/VLU/DLEU
Medicare Advantage - DFU/VLU/DLEU/Other wounds based on medical necessity                           
Managed Medicaid - Follows Medicaid Fee-For-Service

Oasis Burn Matrix Q4103

Commercial - Not Covered                 
Medicare Advantage - DFU/VLU/DLEU/Other wounds based on medical necessity
Managed Medicaid - Follows Medicaid Fee-For-Service

Oasis Ultra Q4124

Commercial - Not Covered                 
Medicare Advantage - DFU/VLU/DLEU/Other wounds based on medical necessity
Managed Medicaid - Follows Medicaid Fee-For-Service