| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 |
Genesis Amniotic Membrane, per sq cm (add-on, list separately in addition to primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 |