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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
$104.69 / $104.69 / $104.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.23 / $104.69 / $690.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.28 / $104.69 / $104.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.69 / $104.69 / $160.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.69 / $104.69 / $690.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.97 / $270.97 / $270.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.69 / $104.69 / $160.18
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 / $105.93 / $178.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.97 / $270.97 / $270.97