| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $102.33 | $102.33 | |
Aetna
| Professional | $97.72 | $104.71 | $104.71 | |
Cigna
| Facility | $85.11 | $85.11 | $85.11 | |
Wellpoint
| Professional | $25.12 | $25.12 | $25.12 |
Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Strip), per 0.5 cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $102.33 | $102.33 | |
Aetna
| Professional | $97.72 | $104.71 | $104.71 | |
Cigna
| Facility | $85.11 | $85.11 | $85.11 | |
Wellpoint
| Professional | $25.12 | $25.12 | $25.12 |