| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.10 | $42.10 | $42.10 | |
Aetna
| Professional | $42.10 | $42.10 | $76.06 | |
United
| Professional | $60.92 | $77.20 | $125.72 |
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 | $42.10 | $42.10 | $42.10 | |
Aetna
| Professional | $42.10 | $42.10 | $76.06 | |
United
| Professional | $60.92 | $77.20 | $125.72 |