| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $3,890.45 | $3,890.45 | |
Kaiser Permanente
| Professional | $134.90 | $295.12 | $371.54 | |
United
| Facility | $1,698.24 | $1,698.24 | $1,698.24 |
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 | $1,513.56 | $3,890.45 | $3,890.45 | |
Kaiser Permanente
| Professional | $134.90 | $295.12 | $371.54 | |
United
| Facility | $1,698.24 | $1,698.24 | $1,698.24 |