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Utah rates for HCPCS C9364

Porcine Implant Permacol Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.95 / $17.95 / $17.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.52 / $17.95 / $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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.24 / $24.31 / $45.00