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South Dakota 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
$25.48 / $25.48 / $25.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.66 / $25.48 / $25.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.60 / $19.60 / $19.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.20 / $38.75 / $45.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.82 / $96.82 / $96.82