| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $257.04 | $8,511.38 | |
Medica
| Facility | $123.03 | $263.03 | $446.68 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |
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 | $114.82 | $257.04 | $8,511.38 | |
Medica
| Facility | $123.03 | $263.03 | $446.68 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |