| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $163.59 | $163.59 | $245.39 | |
BCBS
| Professional | $163.59 | $163.59 | $166.86 | |
Christus
| Facility | $121.37 | $121.37 | $121.37 | |
United
| Professional | $189.61 | $199.56 | $220.01 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $163.59 | $163.59 | $245.39 | |
BCBS
| Professional | $163.59 | $163.59 | $166.86 | |
Christus
| Facility | $121.37 | $121.37 | $121.37 | |
United
| Professional | $189.61 | $199.56 | $220.01 |