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North Carolina 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
$19.38 / $19.38 / $19.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $19.38 / $19.38
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.38 / $21.63 / $23.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.63 / $21.66 / $21.66
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $85.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.64 / $86.64 / $102.60