| 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 Non-Denatured Collagen Neonatal Bovine Origin (Surgimend Collagen Matrix) Per 0.5 Square Centimeters
| 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 |