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Minnesota rates for HCPCS C9354

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

Facilitymedian $19 · 10th–90th $1–$230%20%10th90th$19Professionalmedian $18 · 10th–90th $18–$220%50%90th$18$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $12.88 / $13.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $208.93 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $32.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $22.91 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10