| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $10.96 | $12.88 | |
Cigna
| Facility | $11.22 | $11.22 | $13.49 | |
Cigna
| Professional | $11.75 | $11.75 | $11.75 | |
United
| Professional | $13.49 | $30.90 | $125.89 |
Oasis wound matrix, 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 | $10.96 | $10.96 | $12.88 | |
Cigna
| Facility | $11.22 | $11.22 | $13.49 | |
Cigna
| Professional | $11.75 | $11.75 | $11.75 | |
United
| Professional | $13.49 | $30.90 | $125.89 |