| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.39 | $409.40 | $890.75 | |
Cigna
| Professional | $630.72 | $630.72 | $763.62 | |
United
| Professional | $84.03 | $330.55 | $438.70 |
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 | $83.39 | $409.40 | $890.75 | |
Cigna
| Professional | $630.72 | $630.72 | $763.62 | |
United
| Professional | $84.03 | $330.55 | $438.70 |