| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.46 | $164.46 | $164.46 | |
Aetna
| Professional | $164.46 | $164.46 | $299.04 | |
Molina
| Professional | $45.00 | $45.00 | $314.58 |
Guid Tissue Regen - Resorbable Barrier Per Site
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.46 | $164.46 | $164.46 | |
Aetna
| Professional | $164.46 | $164.46 | $299.04 | |
Molina
| Professional | $45.00 | $45.00 | $314.58 |