| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,376.57 | $1,657.43 | $1,985.78 | |
Kaiser Permanente
| Professional | $682.79 | $682.79 | $860.29 |
Tissue Grafts, Other (Eg, Paratenon, Fat, Dermis)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,376.57 | $1,657.43 | $1,985.78 | |
Kaiser Permanente
| Professional | $682.79 | $682.79 | $860.29 |