go back

Wisconsin 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
$116.00 / $116.00 / $2,960.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.00 / $116.00 / $123.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $123.25 / $137.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.00 / $116.00 / $174.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.00 / $117.45 / $174.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.00 / $319.00 / $319.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.00 / $116.00 / $174.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,900.00 / $5,900.00 / $5,900.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $124.70 / $210.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.00 / $319.00 / $319.00