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Nebraska 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
$116.00 / $116.00 / $116.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.00 / $116.00 / $123.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,452.73 / $3,549.39 / $6,139.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.00 / $191.40 / $220.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.00 / $319.00 / $319.00