| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,575.67 | $1,575.67 | $1,575.67 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 |
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 |
|---|---|---|---|---|---|
Aetna
| Professional | $1,575.67 | $1,575.67 | $1,575.67 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 |