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Idaho rates for HCPCS C9354

Acellular Pericardial Tissue Matrix Of Non- Human Origin (Veritas) Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.38 / $19.38 / $19.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $19.38 / $19.61
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
$18.92 / $19.61 / $25.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00