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Illinois 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
$114.82 / $199.53 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $120.23 / $123.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $169.82 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00