| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.81 | $68.81 | $68.81 | |
Aetna
| Professional | $64.76 | $68.81 | $68.81 | |
Cigna
| Facility | $68.81 | $68.81 | $68.81 | |
Cigna
| Professional | $68.81 | $68.81 | $68.81 |
Skin Substitute Integra Meshed Bilayer Wound Matrix Per Square Centimeter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.81 | $68.81 | $68.81 | |
Aetna
| Professional | $64.76 | $68.81 | $68.81 | |
Cigna
| Facility | $68.81 | $68.81 | $68.81 | |
Cigna
| Professional | $68.81 | $68.81 | $68.81 |