| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.48 | $76.36 | $84.07 | |
BCBS
| Facility | $0.02 | $28.22 | $31.68 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
United
| Professional | $42.60 | $82.23 | $107.60 |
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 | $18.48 | $76.36 | $84.07 | |
BCBS
| Facility | $0.02 | $28.22 | $31.68 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
United
| Professional | $42.60 | $82.23 | $107.60 |