| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.90 | $85.96 | $85.96 | |
BCBS
| Professional | $85.96 | $85.96 | $85.96 | |
Cigna
| Professional | $85.96 | $85.96 | $85.96 | |
United
| Professional | $136.47 | $136.47 | $136.47 |
GRAFTJACKET, 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 | $80.90 | $85.96 | $85.96 | |
BCBS
| Professional | $85.96 | $85.96 | $85.96 | |
Cigna
| Professional | $85.96 | $85.96 | $85.96 | |
United
| Professional | $136.47 | $136.47 | $136.47 |