| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.03 | $488.24 | $6,061.32 | |
Aetna
| Facility | 50 | $2,141.53 | $2,141.53 | $2,141.53 |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |
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 | $194.03 | $488.24 | $6,061.32 | |
Aetna
| Facility | 50 | $2,141.53 | $2,141.53 | $2,141.53 |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |