| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $95.50 | $100.00 | |
Aetna
| Professional | $69.18 | $93.33 | $117.49 | |
Christus
| Facility | $120.23 | $120.23 | $120.23 | |
United
| Professional | $107.15 | $125.89 | $128.82 |
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 | $85.11 | $95.50 | $100.00 | |
Aetna
| Professional | $69.18 | $93.33 | $117.49 | |
Christus
| Facility | $120.23 | $120.23 | $120.23 | |
United
| Professional | $107.15 | $125.89 | $128.82 |