| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Sentara
| Facility | $894.00 | $2,484.00 | $10,945.00 | |
Sentara
| Professional | $894.00 | $2,484.00 | $10,945.00 |
PolyCyte, for topical use only, per 0.5 cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Sentara
| Facility | $894.00 | $2,484.00 | $10,945.00 | |
Sentara
| Professional | $894.00 | $2,484.00 | $10,945.00 |