| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,818.38 | $2,884.03 | |
Kaiser Permanente
| Professional | $199.53 | $251.19 | $295.12 | |
United
| Facility | $1,071.52 | $1,071.52 | $1,071.52 |
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 | $1,000.00 | $2,818.38 | $2,884.03 | |
Kaiser Permanente
| Professional | $199.53 | $251.19 | $295.12 | |
United
| Facility | $1,071.52 | $1,071.52 | $1,071.52 |