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Utah 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
$120.35 / $120.35 / $120.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.45 / $120.35 / $124.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $61.68 / $67.42