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Utah rates for HCPCS C9354

Acellular Pericardial Tissue Matrix Of Non- Human Origin (Veritas) Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.92 / $18.92 / $18.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.47 / $18.92 / $19.61
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $25.62 / $25.62