| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $138.47 | $327.16 | $809.07 | |
BCBS
| Professional | $140.63 | $173.10 | $408.94 | |
Medica
| Facility | $85.00 | $100.00 | $100.00 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $138.47 | $327.16 | $809.07 | |
BCBS
| Professional | $140.63 | $173.10 | $408.94 | |
Medica
| Facility | $85.00 | $100.00 | $100.00 |