| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $61.66 | $67.61 | |
Cigna
| Facility | $58.88 | $58.88 | $70.79 | |
Cigna
| Professional | $63.10 | $63.10 | $63.10 | |
United
| Professional | $72.44 | $81.28 | $125.89 |
MemoDerm, DermaSpan, TranZgraft or InteguPly, 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 | $61.66 | $61.66 | $67.61 | |
Cigna
| Facility | $58.88 | $58.88 | $70.79 | |
Cigna
| Professional | $63.10 | $63.10 | $63.10 | |
United
| Professional | $72.44 | $81.28 | $125.89 |