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Indiana rates for HCPCS C9362

Porous Purified Collagen Matrix Bone Void Filler (Integra Mozaik Osteoconductive Scaffold Strip) Per 0.5 Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.69 / $104.69 / $104.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.23 / $104.69 / $104.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.97 / $50.63 / $50.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.31 / $86.31 / $111.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.31 / $103.57 / $129.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.16 / $62.16 / $62.16