| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $1,726.56 | $59,702.01 | $59,702.01 | |
CareSource
| Professional | $1,726.56 | $1,726.56 | $1,726.56 | |
Cigna
| Professional | $848.00 | $848.00 | $848.00 |
Axolotl Graft or Axolotl DualGraft, per sq cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $1,726.56 | $59,702.01 | $59,702.01 | |
CareSource
| Professional | $1,726.56 | $1,726.56 | $1,726.56 | |
Cigna
| Professional | $848.00 | $848.00 | $848.00 |