go back

New Hampshire 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 / $24.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.26 / $20.21 / $20.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $20.21 / $20.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $26.68 / $30.32