| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.78 | $23.78 | $23.78 | |
Aetna
| Professional | $19.02 | $23.78 | $23.78 | |
BCBS
| Facility | $16.22 | $85.05 | $105.60 |
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 | $23.78 | $23.78 | $23.78 | |
Aetna
| Professional | $19.02 | $23.78 | $23.78 | |
BCBS
| Facility | $16.22 | $85.05 | $105.60 |