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Utah 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
$19.73 / $19.73 / $19.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.26 / $19.73 / $20.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $14.62 / $14.62