| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.00 | $145.00 | $444.00 | |
Aetna
| Professional | $116.00 | $145.00 | $145.00 | |
BCBS
| Facility | $61.64 | $80.95 | $130.50 |
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 | $145.00 | $145.00 | $444.00 | |
Aetna
| Professional | $116.00 | $145.00 | $145.00 | |
BCBS
| Facility | $61.64 | $80.95 | $130.50 |