| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $87.10 | $125.89 | |
BCBS
| Facility | $0.02 | $0.02 | $17,782.79 | |
United
| Professional | $154.88 | $154.88 | $288.40 |
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 | $70.79 | $87.10 | $125.89 | |
BCBS
| Facility | $0.02 | $0.02 | $17,782.79 | |
United
| Professional | $154.88 | $154.88 | $288.40 |