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Minnesota 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 / $18.92 / $22.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.97 / $1.00 / $12.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.01 / $347.56 / $540.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
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 / $22.80 / $62.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.64 / $86.64 / $86.64