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South Dakota rates for HCPCS C9364

Porcine implant, Permacol, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $29.51 / $38.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28