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South Carolina 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
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $20.89 / $21.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $11.90 / $32.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.25 / $20.89 / $35.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00