| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.73 | $19.73 | $19.73 | |
Aetna
| Professional | $19.26 | $19.73 | $20.45 | |
Molina
| Professional | $13.38 | $14.62 | $14.62 |
Dermal Substitute Native Non-Denatured Collagen Fetal Bovine Origin (Surgimend Collagen Matrix) Per 0.5 Square Centimeters)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.73 | $19.73 | $19.73 | |
Aetna
| Professional | $19.26 | $19.73 | $20.45 | |
Molina
| Professional | $13.38 | $14.62 | $14.62 |