| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,146.18 | $1,568.16 | $1,985.78 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 |
Tissue Grafts, Other (Eg, Paratenon, Fat, Dermis)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,146.18 | $1,568.16 | $1,985.78 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 |