| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $151.36 | $1,096.48 | |
Aetna
| Professional | $114.82 | $117.49 | $123.03 | |
Anthem BCBS
| Professional | $44.67 | $44.67 | $138.04 |
Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty), per 0.5 cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $151.36 | $1,096.48 | |
Aetna
| Professional | $114.82 | $117.49 | $123.03 | |
Anthem BCBS
| Professional | $44.67 | $44.67 | $138.04 |