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Texas rates for HCPCS C9364

Porcine implant, Permacol, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.73 / $17.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $17.73 / $18.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.19 / $82.19 / $97.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $18.39 / $49.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $18.39 / $49.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $20.25