| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.48 | $27.48 | $31.83 | |
Kaiser Permanente
| Professional | $18.30 | $21.64 | $39.35 | |
United
| Professional | $56.57 | $71.28 | $173.51 |
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
| Professional | $27.48 | $27.48 | $31.83 | |
Kaiser Permanente
| Professional | $18.30 | $21.64 | $39.35 | |
United
| Professional | $56.57 | $71.28 | $173.51 |