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South Dakota 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
$104.71 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $104.71 / $691.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $177.83 / $1,174.90