| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $199.56 | $199.56 | $199.56 | |
United
| Professional | $199.56 | $199.56 | $224.64 |
Amnio Wound Per Square Centimeter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $199.56 | $199.56 | $199.56 | |
United
| Professional | $199.56 | $199.56 | $224.64 |