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Utah 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
$19.05 / $19.05 / $53,703.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $19.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $14.45 / $75.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $17.38 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99