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Idaho rates for HCPCS C9358

Dermal substitute, native, nondenatured collagen, fetal bovine origin (SurgiMend Collagen Matrix), per 0.5 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.21 / $20.21 / $20.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.02 / $20.21 / $20.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.70 / $20.45 / $26.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00