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Montana 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
Professional
Modifier
Low / Median / High Price
$19.02 / $19.73 / $19.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.21 / $15.21 / $15.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.02 / $19.02 / $19.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.21 / $2,250,000.00 / $2,400,000.00