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Pennsylvania 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 / $154.88 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $120.23 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $2,884.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $154.88 / $8,709.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $120.23 / $144.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60