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Oklahoma 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
$18.47 / $18.47 / $5,712.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.47 / $18.47 / $18.70
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
$18.47 / $19.38 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.64 / $86.64 / $86.64