| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.50 | $37.43 | $44.92 | |
Cigna
| Professional | $13.20 | $13.20 | $537.00 | |
MVP Health Care
| Professional | $13.20 | $13.20 | $537.00 |
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
| Professional | $29.50 | $37.43 | $44.92 | |
Cigna
| Professional | $13.20 | $13.20 | $537.00 | |
MVP Health Care
| Professional | $13.20 | $13.20 | $537.00 |