| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $248.62 | $322.01 | $638.00 | |
United
| Facility | $450.00 | $450.00 | $450.00 |
Harvest Skin Tissue Cltr Skin Agrft 100 Cm/<
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $248.62 | $322.01 | $638.00 | |
United
| Facility | $450.00 | $450.00 | $450.00 |