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Missouri 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
$18.23 / $18.23 / $18.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $18.23 / $18.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.10 / $19.22 / $23.30
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $22.39 / $49.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.64 / $86.64 / $86.64