| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.00 | $3.00 | $3.00 | |
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
Wellpoint
| Professional | $4.59 | $4.59 | $4.59 |
Nonsheet form skin substitute, FDA-cleared as a device, not otherwise specified (list in addition to primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.00 | $3.00 | $3.00 | |
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
Wellpoint
| Professional | $4.59 | $4.59 | $4.59 |