| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.03 | $0.03 | $0.03 | |
ConnectiCare
| Professional | $170.71 | $170.71 | $170.71 | |
United
| Professional | $189.58 | $199.56 | $209.54 |
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 |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.03 | $0.03 | $0.03 | |
ConnectiCare
| Professional | $170.71 | $170.71 | $170.71 | |
United
| Professional | $189.58 | $199.56 | $209.54 |