| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.43 | $100.43 | $102.85 | |
Cigna
| Professional | $102.85 | $102.85 | $102.85 | |
United
| Professional | $99.00 | $106.05 | $165.00 |
DermACELL, DermACELL AWM or DermACELL AWM Porous, 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 | $100.43 | $100.43 | $102.85 | |
Cigna
| Professional | $102.85 | $102.85 | $102.85 | |
United
| Professional | $99.00 | $106.05 | $165.00 |