| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $66.51 | $66.51 | $81.30 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |
Artacent Cord, 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 | $66.51 | $66.51 | $81.30 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |