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Michigan 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
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $109.65 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $223.87 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $97.72 / $239.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $104.71 / $117.49
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20