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Virginia 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 / $123.03 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $120.23 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $125.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $128.82 / $208.93