| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.66 | $21.66 | $21.66 | |
Aetna
| Professional | $17.57 | $21.15 | $21.66 | |
Cigna
| Professional | $11.90 | $11.90 | $11.90 | |
Emblem Health
| Professional | $11.90 | $11.90 | $12.60 |
Dermal substitute, native, nondenatured collagen, neonatal bovine origin (SurgiMend Collagen Matrix), per 0.5 sq cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.66 | $21.66 | $21.66 | |
Aetna
| Professional | $17.57 | $21.15 | $21.66 | |
Cigna
| Professional | $11.90 | $11.90 | $11.90 | |
Emblem Health
| Professional | $11.90 | $11.90 | $12.60 |