| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $1,445.44 | $2,238.72 | |
BCBS
| Facility | $2,691.53 | $3,235.94 | $4,365.16 | |
United
| Facility | $645.65 | $1,698.24 | $3,090.30 |
Harvest of skin for tissue cultured skin autograft, 100 sq cm or less
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $1,445.44 | $2,238.72 | |
BCBS
| Facility | $2,691.53 | $3,235.94 | $4,365.16 | |
United
| Facility | $645.65 | $1,698.24 | $3,090.30 |