| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.33 | $0.33 | $1.10 | |
CareSource
| Facility | $66.51 | $66.51 | $81.30 |
NovoSorb SynPath dermal matrix, per sq cm (add-on, list separately in addition to primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.33 | $0.33 | $1.10 | |
CareSource
| Facility | $66.51 | $66.51 | $81.30 |