| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.72 | $97.72 | $138.04 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $97.72 | $97.72 | $97.72 | |
United
| Professional | $125.89 | $223.87 | $239.88 |
BioDFence DryFlex, 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 | $97.72 | $97.72 | $138.04 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $97.72 | $97.72 | $97.72 | |
United
| Professional | $125.89 | $223.87 | $239.88 |