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Arkansas rates for HCPCS C9359

Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty), per 0.5 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.25 / $123.25 / $123.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.00 / $120.35 / $123.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.84 / $95.84 / $95.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $108.00 / $117.00