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Alaska rates for HCPCS C9356

Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (TenoGlide Tendon Protector Sheet), per sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $112.20 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $144.54 / $251.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $109.65 / $177.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $3,467.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $134.90 / $251.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $112.20 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $75.86