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Wisconsin 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 / $107.15 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $69.18 / $91.20
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
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $107.15 / $162.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $112.20 / $190.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $64.57 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $5,888.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $398.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $588.84