| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $3,575.00 | $4,601.00 | |
Aetna
| Professional | $29.50 | $29.50 | $29.94 | |
Cigna
| Professional | $13.20 | $13.20 | $13.20 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |
Application Of Low Cost Skin Substitute Graft To Trunk Arms Legs Total Wound Surface Area Up To 100 Sq Cm; First 25 Sq Cm Or Less Wound Surface Area
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $3,575.00 | $4,601.00 | |
Aetna
| Professional | $29.50 | $29.50 | $29.94 | |
Cigna
| Professional | $13.20 | $13.20 | $13.20 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |