| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.15 | $21.15 | $21.15 | |
Aetna
| Professional | $20.64 | $21.15 | $21.91 | |
Molina
| Professional | $15.43 | $16.86 | $16.86 | |
United
| Professional | $25.48 | $25.48 | $25.48 |
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 | $21.15 | $21.15 | $21.15 | |
Aetna
| Professional | $20.64 | $21.15 | $21.91 | |
Molina
| Professional | $15.43 | $16.86 | $16.86 | |
United
| Professional | $25.48 | $25.48 | $25.48 |