Cigna

Submitted by Admin on
Oasis Wound Matrix Q4102

Commercial – Covered - DFU/VLU/VSU 

Medicare Advantage – Follows Active LCD 

Retired LCD – Follows Commercial

Oasis Burn Matrix Q4103

Commercial – Not Covered 

Medicare Advantage – Follows Active LCD 

Retired LCD – Follows Commercial

Oasis Ultra Q4124

Commercial – Covered - DFU/VLU/VSU 

Medicare Advantage – Follows Active LCD 

Retired LCD – Follows Commercial