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Pennsylvania 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 / $25.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.02 / $20.21 / $20.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $967.00 / $967.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $30.20 / $30.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.21 / $20.21 / $20,590.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.02 / $20.21 / $20.21
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $30.20 / $30.20