| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.41 | $1,181.00 | $3,142.10 | |
Aetna
| Facility | 50 | $286.00 | $2,118.50 | $2,118.50 |
United
| Facility | $130.00 | $337.00 | $858.00 |
Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.41 | $1,181.00 | $3,142.10 | |
Aetna
| Facility | 50 | $286.00 | $2,118.50 | $2,118.50 |
United
| Facility | $130.00 | $337.00 | $858.00 |