| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.49 | $262.14 | $8,500.00 | |
Medica
| Facility | $122.49 | $262.14 | $445.66 |
Harvest Skin Tissue Cltr Skin Agrft 100 Cm/<
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.49 | $262.14 | $8,500.00 | |
Medica
| Facility | $122.49 | $262.14 | $445.66 |