go back

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
$120.23 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $120.23 / $123.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $61.66 / $75.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $144.54 / $144.54