go back

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
$123.25 / $123.25 / $123.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.90 / $123.25 / $123.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $123.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.25 / $123.25 / $123.25