| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.75 | $3,144.37 | $23,542.02 | |
Aetna
| Facility | 50 | $10,868.44 | $10,868.44 | $10,868.44 |
Highmark BCBS
| Facility | $7,016.81 | $9,643.84 | $11,497.67 |
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 | $186.75 | $3,144.37 | $23,542.02 | |
Aetna
| Facility | 50 | $10,868.44 | $10,868.44 | $10,868.44 |
Highmark BCBS
| Facility | $7,016.81 | $9,643.84 | $11,497.67 |