| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.02 | $19.73 | $1,092.00 | |
Aetna
| Professional | $19.02 | $19.73 | $20.21 | |
Cigna
| Professional | $11.05 | $11.05 | $11.05 | |
Wellpoint
| Professional | $19.82 | $19.82 | $19.82 |
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 | $19.02 | $19.73 | $1,092.00 | |
Aetna
| Professional | $19.02 | $19.73 | $20.21 | |
Cigna
| Professional | $11.05 | $11.05 | $11.05 | |
Wellpoint
| Professional | $19.82 | $19.82 | $19.82 |