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Montana 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
Professional
Modifier
Low / Median / High Price
$102.23 / $104.69 / $690.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.83 / $100.83 / $100.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.69 / $104.69 / $104.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.83 / $1,800,000.00 / $2,400,000.00