| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.00 | $1,520.00 | $3,728.00 | |
Aetna
| Professional | $27.58 | $27.58 | $35.18 | |
BCBS
| Facility | $593.39 | $1,107.46 | $1,905.65 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |
Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, 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 | $400.00 | $1,520.00 | $3,728.00 | |
Aetna
| Professional | $27.58 | $27.58 | $35.18 | |
BCBS
| Facility | $593.39 | $1,107.46 | $1,905.65 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |