| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $323.98 | $323.98 | $323.98 | |
Cigna
| Professional | $13.20 | $13.20 | $13.20 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 |
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 | $323.98 | $323.98 | $323.98 | |
Cigna
| Professional | $13.20 | $13.20 | $13.20 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 |