| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
Christus
| Facility | $121.37 | $121.37 | $121.37 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
Christus
| Facility | $121.37 | $121.37 | $121.37 |