| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,380.38 | $3,388.44 | $6,309.57 | |
Cigna
| Facility | $50,118.72 | $50,118.72 | $53,703.18 | |
United
| Facility | $371.54 | $616.60 | $2,089.30 |
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 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 | $1,380.38 | $3,388.44 | $6,309.57 | |
Cigna
| Facility | $50,118.72 | $50,118.72 | $53,703.18 | |
United
| Facility | $371.54 | $616.60 | $2,089.30 |
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