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South Dakota 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
$23.78 / $23.78 / $23.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $23.78 / $23.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.44 / $19.44 / $19.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.85 / $36.17 / $42.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.36 / $90.36 / $90.36