| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.23 | $102.23 | $102.23 | |
Aetna
| Professional | $102.23 | $104.69 | $104.69 | |
Molina
| Professional | $45.00 | $126.61 | $138.38 |
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 | $102.23 | $102.23 | $102.23 | |
Aetna
| Professional | $102.23 | $104.69 | $104.69 | |
Molina
| Professional | $45.00 | $126.61 | $138.38 |