| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.00 | $81.00 | $81.00 | |
Anthem BCBS
| Professional | $6.31 | $41.07 | $52.21 | |
ConnectiCare
| Professional | $25.00 | $25.00 | $25.00 |
Xcm Biologic Tissue Matrix Per Square Centimeter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.00 | $81.00 | $81.00 | |
Anthem BCBS
| Professional | $6.31 | $41.07 | $52.21 | |
ConnectiCare
| Professional | $25.00 | $25.00 | $25.00 |