| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $66.51 | $66.51 | $86.22 | |
CareSource
| Professional | $66.51 | $79.81 | $99.77 | |
United
| Professional | $199.56 | $199.56 | $213.73 |
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 |
|---|---|---|---|---|---|
CareSource
| Facility | $66.51 | $66.51 | $86.22 | |
CareSource
| Professional | $66.51 | $79.81 | $99.77 | |
United
| Professional | $199.56 | $199.56 | $213.73 |