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Washington 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 / $20.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.02 / $20.21 / $20.21
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $20.54 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.36 / $90.36 / $107.01
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.19 / $40.19 / $40.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $11.50 / $23.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.96 / $11.96 / $13.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $19.82 / $19.82