| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.00 | $3.00 | $50.90 | |
BCBS
| Professional | $2.33 | $2.33 | $3.10 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |
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 | $50.90 | |
BCBS
| Professional | $2.33 | $2.33 | $3.10 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |