| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $15.27 | $15.27 | $22.19 | |
Cigna
| Professional | $18.50 | $24.82 | $38.29 | |
United
| Professional | $21.66 | $28.24 | $60.41 |
Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $15.27 | $15.27 | $22.19 | |
Cigna
| Professional | $18.50 | $24.82 | $38.29 | |
United
| Professional | $21.66 | $28.24 | $60.41 |