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South Carolina 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
$19.50 / $19.50 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $19.50 / $19.73
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 / $11.05 / $30.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.30 / $19.50 / $33.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.30 / $13.30 / $13.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00