| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,031.75 | $1,264.40 | $1,264.40 | |
Kaiser Permanente
| Professional | $105.09 | $1,011.52 | $1,264.40 | |
United
| Professional | $968.64 | $1,264.40 | $1,851.18 |
Autologous platelet rich plasma (PRP) or other blood-derived product for diabetic chronic wounds/ulcers, using an FDA-cleared device for this indication, (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 |
|---|---|---|---|---|---|
Cigna
| Professional | $1,031.75 | $1,264.40 | $1,264.40 | |
Kaiser Permanente
| Professional | $105.09 | $1,011.52 | $1,264.40 | |
United
| Professional | $968.64 | $1,264.40 | $1,851.18 |