| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $818.00 | $821.00 | $821.00 | |
Medcost
| Facility | $769.85 | $785.96 | $1,308.75 | |
Medcost
| Professional | $1,158.33 | $1,477.00 | $2,035.20 |
Axolotl Graft or Axolotl DualGraft, per sq cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $818.00 | $821.00 | $821.00 | |
Medcost
| Facility | $769.85 | $785.96 | $1,308.75 | |
Medcost
| Professional | $1,158.33 | $1,477.00 | $2,035.20 |