go back

Indiana 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
$19.02 / $19.02 / $19.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.02 / $19.02 / $19.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $21.80 / $38.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.35 / $18.72 / $26.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.35 / $18.35 / $22.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05