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Idaho rates for HCPCS C9360

Dermal substitute, native, nondenatured collagen, neonatal bovine origin (SurgiMend Collagen Matrix), per 0.5 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.66 / $21.66 / $21.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $21.66 / $21.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $11.90 / $11.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $21.91 / $28.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00