| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $98.34 | $98.34 | $100.00 | |
Oscar Health
| Professional | $192.97 | $192.97 | $239.19 |
Amnion Bio or AxoBioMembrane, per sq cm (add-on, list separately in addition to primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $98.34 | $98.34 | $100.00 | |
Oscar Health
| Professional | $192.97 | $192.97 | $239.19 |