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South Dakota rates for HCPCS C9364

Porcine Implant Permacol Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.63 / $21.63 / $21.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $21.63 / $21.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.12 / $32.90 / $38.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.19 / $82.19 / $82.19