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Oklahoma rates for HCPCS C9358

Dermal Substitute Native Non-Denatured Collagen Fetal Bovine Origin (Surgimend Collagen Matrix) Per 0.5 Square Centimeters)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.26 / $19.26 / $19.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.26 / $19.26 / $19.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.26 / $20.21 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.36 / $90.36 / $90.36