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Montana rates for HCPCS C9354

Acellular Pericardial Tissue Matrix Of Non- Human Origin (Veritas) Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $18.92 / $18.92
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
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $18.23 / $19.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $19.38 / $2,250,000.00