Integra dermal regeneration template (DRT) or Integra Omnigraft dermal regeneration matrix, per sq cm (add-on, list separately in addition to primary procedure)
Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
Insurance Carrier
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $26.92 / $117.49
Facility
$25.70
$26.92
$117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $33.11
Professional
$25.70
$25.70
$33.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $87.10 / $288.40
Facility
$69.18
$87.10
$288.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $67.61 / $112.20
Professional
$26.92
$67.61
$112.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $169.82 / $346.74
Facility
$61.66
$169.82
$346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $125.89 / $125.89
Professional
$29.51
$125.89
$125.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $64.57 / $102.33
Facility
$23.44
$64.57
$102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $120.23 / $125.89
Professional
$23.44
$120.23
$125.89
See more rates by state
Want provider-level rates data? We offer custom data extracts for a reasonable fee. To learn more, please email us.