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New York 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
$15.73 / $19.38 / $19.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.73 / $18.92 / $19.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $21.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.38 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $19.38 / $25.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $19.38 / $19.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.96 / $85.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $19.38 / $28.96
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $19.38 / $21.66
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $19.38 / $19.38