| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.51 | $3,706.14 | $42,551.65 | |
United
| Facility | $540.00 | $1,401.00 | $4,915.00 |
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 | $73.51 | $3,706.14 | $42,551.65 | |
United
| Facility | $540.00 | $1,401.00 | $4,915.00 |