| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.23 | $30.23 | $30.53 | |
Cigna
| Facility | $30.23 | $30.23 | $30.23 | |
Cigna
| Professional | $30.23 | $30.23 | $30.23 | |
United
| Professional | $30.23 | $43.28 | $45.99 |
Apligraf, per sq cm (add-on, list separately in addition to primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.23 | $30.23 | $30.53 | |
Cigna
| Facility | $30.23 | $30.23 | $30.23 | |
Cigna
| Professional | $30.23 | $30.23 | $30.23 | |
United
| Professional | $30.23 | $43.28 | $45.99 |