| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $93.11 | $93.11 | $93.12 | |
CareSource
| Professional | $68.98 | $76.48 | $93.12 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |
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 |
|---|---|---|---|---|---|
CareSource
| Facility | $93.11 | $93.11 | $93.12 | |
CareSource
| Professional | $68.98 | $76.48 | $93.12 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |