| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.07 | $61.07 | $61.07 | |
Aetna
| Professional | $46.08 | $56.05 | $68.52 | |
Molina
| Professional | $30.00 | $45.00 | $115.35 |
Full M Debrid Enbl Comp Or Eval & Dx Subq Visit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.07 | $61.07 | $61.07 | |
Aetna
| Professional | $46.08 | $56.05 | $68.52 | |
Molina
| Professional | $30.00 | $45.00 | $115.35 |