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Idaho 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
$145.00 / $145.00 / $145.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.00 / $124.70 / $145.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.54 / $80.54 / $80.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.00 / $124.70 / $159.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00