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Utah 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
$21.15 / $21.15 / $21.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.64 / $21.15 / $21.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $16.86 / $16.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.48 / $25.48 / $25.48