Maine | GRAFIX PL Lyopreserved Placental Membrane and GRAFIX Cryopreserved Placental Membrane

Harvard Pilgrim (Point32 Health)

Read more about Harvard Pilgrim (Point32 Health)

Coverage Depends on Member Plan

Wellcare (Centene)

Read more about Wellcare (Centene)

DFU and VLU - Grafix PRIME (Q4133) only

Anthem

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DFU (Grafix Prime only)

UHC Community Plan

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Follows Medicaid Fee-for-Service

Aetna

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DFU

Cigna

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Commercial DFU
Medicare Advantage DFU, VLU, DLEU

BCBS Federal Employee Plan

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DLEU

Department of Veterans Affairs Health Plan

Read more about Department of Veterans Affairs Health Plan

DLEU

United Healthcare

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Commercial DFU
Medicare Advantage Follows Active LCD
Retired LCD Follows Commercial

Humana

Read more about Humana

Commercial DFU
Medicare Advantage Plans DLEU and VLU

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