| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $485.91 | $485.91 | $485.91 | |
Midlands
| Facility | $15.04 | $15.04 | $16.60 | |
Midlands
| Professional | $13.45 | $15.04 | $19.25 |
Ablative laser treatment, non-contact, full field and fractional ablation, open wound, per day, total treatment surface area; first 20 sq cm or less
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $485.91 | $485.91 | $485.91 | |
Midlands
| Facility | $15.04 | $15.04 | $16.60 | |
Midlands
| Professional | $13.45 | $15.04 | $19.25 |