go back

Arizona rates for HCPCS C9364

Porcine implant, Permacol, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.52 / $43.26 / $43.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $17.52 / $18.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.52 / $372.14 / $920.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.52 / $19.27 / $38.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.19 / $82.19 / $82.19