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Utah rates for HCPCS C9355

Collagen nerve cuff (NeuroMatrix), per 0.5 cm length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $177.83 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $75.86 / $239.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $213.80 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80