South Carolina | GRAFIX PL Lyopreserved Placental Membrane and GRAFIX Cryopreserved Placental Membrane

BCBS South Carolina

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DLEU

Wellcare (Centene)

Read more about Wellcare (Centene)

DFU and VLU - Grafix PRIME (Q4133) only

Independence Blue Cross

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Lower Extremity Ulcers

Highmark

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DLEU and VLU

Sierra Health and Life (UHC)

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Follows Active Medicare LCD/LCA

Molina Healthcare

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DFU and VLU

UHC Community Plan

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Follows Medicaid Fee-for-Service

Centene Corporation

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DFU, VSU, and VLU

Aetna

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DFU

Cigna

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Commercial DFU
Medicare Advantage DFU, VLU, DLEU

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