| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.55 | $71.55 | $71.55 | |
Cigna
| Facility | $71.55 | $71.55 | $71.55 | |
Cigna
| Professional | $71.55 | $71.55 | $71.55 | |
United
| Professional | $63.82 | $71.55 | $115.97 |
AlloSkin RT, 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 | $71.55 | $71.55 | $71.55 | |
Cigna
| Facility | $71.55 | $71.55 | $71.55 | |
Cigna
| Professional | $71.55 | $71.55 | $71.55 | |
United
| Professional | $63.82 | $71.55 | $115.97 |