| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.90 | $11,278.50 | $23,657.78 | |
Aetna
| Professional | $20.21 | $20.21 | $20.21 |
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 | $48.90 | $11,278.50 | $23,657.78 | |
Aetna
| Professional | $20.21 | $20.21 | $20.21 |