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Wisconsin 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
$20.38 / $20.38 / $20.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $21.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.24 / $21.24 / $21.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.38 / $20.38 / $30.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.38 / $20.64 / $36.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.82 / $96.82 / $96.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.38 / $20.38 / $30.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,900.00 / $5,900.00 / $5,900.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $85.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.01 / $96.82 / $96.82