| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $954.99 | $954.99 | $954.99 | |
United
| Professional | $758.58 | $851.14 | $954.99 |
Axolotl Graft or Axolotl DualGraft, per sq cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $954.99 | $954.99 | $954.99 | |
United
| Professional | $758.58 | $851.14 | $954.99 |