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South Dakota 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 / $131.83 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $109.65 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $177.83 / $223.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78