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New Hampshire 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 / $147.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.45 / $123.25 / $123.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.25 / $123.25 / $123.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.25 / $163.53 / $204.41