| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $127.38 | $200.00 | $229.28 | |
Hometown Health
| Professional | $127.38 | $127.38 | $191.07 | |
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 |
|---|---|---|---|---|---|
Hometown Health
| Professional | $127.38 | $200.00 | $229.28 | |
Hometown Health
| Professional | $127.38 | $127.38 | $191.07 | |
United
| Professional | $199.56 | $199.56 | $199.56 |