| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $52.48 | $158.49 | |
Cigna
| Facility | $52.48 | $52.48 | $52.48 | |
Cigna
| Professional | $52.48 | $52.48 | $52.48 | |
United
| Professional | $125.89 | $758.58 | $1,000.00 |
Vendaje, 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 | $52.48 | $52.48 | $158.49 | |
Cigna
| Facility | $52.48 | $52.48 | $52.48 | |
Cigna
| Professional | $52.48 | $52.48 | $52.48 | |
United
| Professional | $125.89 | $758.58 | $1,000.00 |