| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.00 | $3.00 | $3.00 | |
BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
Christus
| Facility | $121.37 | $121.37 | $121.37 |
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 | |
BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
Christus
| Facility | $121.37 | $121.37 | $121.37 |