| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.37 | $5,009.00 | $9,860.00 | |
Horizon BCBS
| Facility | $4,447.22 | $8,481.31 | $9,643.75 | |
United
| Facility | $3,705.00 | $5,265.00 | $10,536.00 |
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 | $159.37 | $5,009.00 | $9,860.00 | |
Horizon BCBS
| Facility | $4,447.22 | $8,481.31 | $9,643.75 | |
United
| Facility | $3,705.00 | $5,265.00 | $10,536.00 |