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Montana rates for HCPCS C9364

Porcine implant, Permacol, per sq cm

Facilitymedian $18 · 10th–90th $17–$310%20%40%10th90th$18Professionalmedian $17 · 10th–90th $17–$180%50%90th$17$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $18.20 / $30.90
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $79.43 / $85.11