| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $93.33 | $93.33 | |
Aetna
| Professional | $97.72 | $117.49 | $138.04 | |
United
| Professional | $109.65 | $125.89 | $125.89 |
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
| Facility | $93.33 | $93.33 | $93.33 | |
Aetna
| Professional | $97.72 | $117.49 | $138.04 | |
United
| Professional | $109.65 | $125.89 | $125.89 |