| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 | |
United
| Professional | $199.56 | $199.56 | $199.56 |
Amnio Wound, per sq cm (add-on, list separately in addition to primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 | |
United
| Professional | $199.56 | $199.56 | $199.56 |