| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.21 | $20.21 | $20.21 | |
Aetna
| Professional | $19.02 | $20.21 | $20.21 | |
Anthem BCBS
| Professional | $19.82 | $19.82 | $20.21 | |
ConnectiCare
| Professional | $9.75 | $9.94 | $10.86 |
Dermal substitute, native, nondenatured collagen, fetal bovine origin (SurgiMend Collagen Matrix), per 0.5 sq cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.21 | $20.21 | $20.21 | |
Aetna
| Professional | $19.02 | $20.21 | $20.21 | |
Anthem BCBS
| Professional | $19.82 | $19.82 | $20.21 | |
ConnectiCare
| Professional | $9.75 | $9.94 | $10.86 |