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Alaska rates for HCPCS C9354

Acellular pericardial tissue matrix of nonhuman origin (Veritas), per sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $30.78 / $30.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.38 / $19.38 / $19.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $19.38 / $19.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.78 / $30.78 / $43.09
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,495.87 / $3,495.87 / $3,495.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.78 / $30.78 / $43.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $19.38 / $2,400,000.00