| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,568.16 | $1,657.43 | $1,985.78 | |
Molina
| Professional | $85.00 | $85.00 | $85.00 |
Tissue Grafts, Other (Eg, Paratenon, Fat, Dermis)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,568.16 | $1,657.43 | $1,985.78 | |
Molina
| Professional | $85.00 | $85.00 | $85.00 |