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Maine 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
$123.03 / $123.03 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $120.23 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $44.67 / $85.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $123.03 / $154.88