| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.90 | $50.90 | $50.90 | |
BCBS
| Facility | $7.16 | $10.74 | $25.70 | |
BCBS
| Professional | $34.50 | $34.50 | $115.00 |
Human Health Factor 10 Amniotic Patch (HHF10-P), per sq cm (add-on, list separately in addition to primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.90 | $50.90 | $50.90 | |
BCBS
| Facility | $7.16 | $10.74 | $25.70 | |
BCBS
| Professional | $34.50 | $34.50 | $115.00 |
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