| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.49 | $117.49 | $446.68 | |
Aetna
| Professional | $114.82 | $120.23 | $123.03 | |
Medica
| Facility | $117.49 | $123.03 | $208.93 | |
Medica
| Professional | $316.23 | $316.23 | $316.23 |
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 | $117.49 | $117.49 | $446.68 | |
Aetna
| Professional | $114.82 | $120.23 | $123.03 | |
Medica
| Facility | $117.49 | $123.03 | $208.93 | |
Medica
| Professional | $316.23 | $316.23 | $316.23 |