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Washington 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 / $6,651.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.00 / $123.25 / $123.25
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.78 / $123.25 / $210.25
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.75 / $319.00 / $319.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.18 / $66.45 / $160.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00