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New Hampshire rates for HCPCS C9360

Dermal Substitute Native Non-Denatured Collagen Neonatal Bovine Origin (Surgimend Collagen Matrix) Per 0.5 Square Centimeters

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.66 / $21.66 / $25.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.64 / $21.66 / $21.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.65 / $21.65 / $21.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.66 / $28.59 / $32.49
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $18.00 / $22.50