| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $109.65 | $109.65 | |
Aetna
| Professional | $70.79 | $97.72 | $123.03 | |
United
| Professional | $109.65 | $125.89 | $125.89 |
PermeaDerm B, per sq cm (add-on, list separately in addition to primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $109.65 | $109.65 | |
Aetna
| Professional | $70.79 | $97.72 | $123.03 | |
United
| Professional | $109.65 | $125.89 | $125.89 |