go back

Indiana 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
$18.23 / $18.23 / $18.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $18.23 / $18.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $20.90 / $36.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.17 / $24.17 / $24.17
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