| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.73 | $91.73 | $91.73 | |
Aetna
| Professional | $77.34 | $87.55 | $91.73 | |
Anthem BCBS
| Professional | $61.29 | $106.52 | $134.78 | |
United
| Professional | $23.70 | $78.59 | $115.17 |
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 | $91.73 | $91.73 | $91.73 | |
Aetna
| Professional | $77.34 | $87.55 | $91.73 | |
Anthem BCBS
| Professional | $61.29 | $106.52 | $134.78 | |
United
| Professional | $23.70 | $78.59 | $115.17 |