| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.00 | $3.00 | $3.00 | |
Capital Blue Cross
| Facility | $967.00 | $967.00 | $967.00 | |
Martin's Point
| Professional | $3.00 | $3.00 | $3.00 |
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 | $3.00 | |
Capital Blue Cross
| Facility | $967.00 | $967.00 | $967.00 | |
Martin's Point
| Professional | $3.00 | $3.00 | $3.00 |