| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,951.21 | $5,888.44 | $10,715.19 | |
Horizon BCBS
| Facility | $4,073.80 | $6,165.95 | $9,549.93 | |
United
| Facility | $2,511.89 | $5,128.61 | $8,709.64 |
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 | $2,951.21 | $5,888.44 | $10,715.19 | |
Horizon BCBS
| Facility | $4,073.80 | $6,165.95 | $9,549.93 | |
United
| Facility | $2,511.89 | $5,128.61 | $8,709.64 |