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Idaho rates for HCPCS C9364

Porcine implant, Permacol, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $18.39 / $18.60
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $18.60 / $23.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00