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Texas 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 / $18.70 / $18.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $18.70 / $19.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.64 / $86.64 / $102.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $19.38 / $51.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $19.38 / $51.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $19.38 / $19.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $25.65