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Utah rates for HCPCS C9354

Acellular pericardial tissue matrix of nonhuman origin (Veritas), per sq cm

Facilitymedian $18 · 10th–90th $18–$180%50%$18Professionalmedian $19 · 10th–90th $18–$190%50%10th90th$19$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $25.70 / $75.86
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $22.91 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91