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Louisiana 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 / $22.80 / $22.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.43 / $12.23 / $20.52
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