| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.42 | $47.42 | $48.56 | |
Cigna
| Professional | $48.56 | $48.56 | $48.56 | |
HMSA
| Professional | $185.34 | $213.03 | $244.98 | |
United
| Professional | $53.47 | $57.13 | $85.70 |
Architect, Architect PX, or Architect FX, extracellular matrix, 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 | $47.42 | $47.42 | $48.56 | |
Cigna
| Professional | $48.56 | $48.56 | $48.56 | |
HMSA
| Professional | $185.34 | $213.03 | $244.98 | |
United
| Professional | $53.47 | $57.13 | $85.70 |