| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.81 | $68.81 | $11,585.80 | |
Aetna
| Professional | $66.38 | $68.81 | $70.20 | |
Cigna
| Facility | $26.77 | $68.81 | $68.81 | |
Cigna
| Professional | $68.81 | $68.81 | $68.81 |
Skin substitute (Integra Meshed Bilayer Wound Matrix), per sq cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.81 | $68.81 | $11,585.80 | |
Aetna
| Professional | $66.38 | $68.81 | $70.20 | |
Cigna
| Facility | $26.77 | $68.81 | $68.81 | |
Cigna
| Professional | $68.81 | $68.81 | $68.81 |