| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.23 | $31.23 | $31.23 | |
Aetna
| Professional | $31.23 | $31.23 | $71.90 | |
United
| Professional | $53.31 | $60.92 | $83.95 |
Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and measure wound size, per session; each additional anatomic site (eg, upper extremity, left leg) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.23 | $31.23 | $31.23 | |
Aetna
| Professional | $31.23 | $31.23 | $71.90 | |
United
| Professional | $53.31 | $60.92 | $83.95 |