| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $260.19 | $5,000.27 | $7,838.38 | |
Providence
| Facility | $124.59 | $238.20 | $411.04 | |
United
| Facility | $559.00 | $3,503.00 | $5,060.00 |
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 | $260.19 | $5,000.27 | $7,838.38 | |
Providence
| Facility | $124.59 | $238.20 | $411.04 | |
United
| Facility | $559.00 | $3,503.00 | $5,060.00 |