go back

Ohio 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 / $40.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $18.23 / $19.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.91 / $25.57 / $40.09
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
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $19.38 / $22.80