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Kansas rates for HCPCS C9354

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.80 / $22.80 / $22.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $18.23 / $22.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.00 / $16.00 / $19.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $19.38 / $19.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $21.34 / $51.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.64 / $86.64 / $86.64