| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,820.00 | $1,820.00 | $1,820.00 | |
Aetna
| Professional | $640.00 | $987.52 | $1,820.00 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
Amniomatrix Or Biodmatrix Injectable 1 Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,820.00 | $1,820.00 | $1,820.00 | |
Aetna
| Professional | $640.00 | $987.52 | $1,820.00 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |