| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $795.50 | $1,000.28 | $1,259.67 | |
Oscar Health
| Professional | $511.40 | $511.40 | $835.70 | |
Priority Health
| Professional | $795.50 | $1,000.28 | $1,259.67 |
Tissue Grafts, Other (Eg, Paratenon, Fat, Dermis)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $795.50 | $1,000.28 | $1,259.67 | |
Oscar Health
| Professional | $511.40 | $511.40 | $835.70 | |
Priority Health
| Professional | $795.50 | $1,000.28 | $1,259.67 |