| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.02 | $19.02 | $19.02 | |
Aetna
| Professional | $19.02 | $19.73 | $23.78 | |
Medica
| Facility | $19.02 | $19.02 | $33.29 | |
Medica
| Professional | $90.36 | $90.36 | $90.36 |
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 | $19.02 | $19.02 | |
Aetna
| Professional | $19.02 | $19.73 | $23.78 | |
Medica
| Facility | $19.02 | $19.02 | $33.29 | |
Medica
| Professional | $90.36 | $90.36 | $90.36 |