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Wisconsin 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 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $67.61 / $104.71
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $190.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $190.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $64.57 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $5,888.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $177.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54