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Utah 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
$21.15 / $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