| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,905.46 | $4,786.30 | $9,772.37 | |
Cigna
| Facility | $50,118.72 | $50,118.72 | $53,703.18 | |
United
| Facility | $1,071.52 | $1,548.82 | $3,981.07 |
Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,905.46 | $4,786.30 | $9,772.37 | |
Cigna
| Facility | $50,118.72 | $50,118.72 | $53,703.18 | |
United
| Facility | $1,071.52 | $1,548.82 | $3,981.07 |
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