| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.33 | $707.24 | $896.54 | |
Cigna
| Professional | $630.72 | $630.72 | $630.72 | |
United
| Professional | $53.78 | $90.07 | $484.57 |
Autologous platelet rich plasma (PRP) or other blood-derived product for nondiabetic chronic wounds/ulcers (includes, as applicable: administration, dressings, phlebotomy, centrifugation or mixing, and all other preparatory procedures, per treatment)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.33 | $707.24 | $896.54 | |
Cigna
| Professional | $630.72 | $630.72 | $630.72 | |
United
| Professional | $53.78 | $90.07 | $484.57 |