| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $90.17 | $90.17 | $90.17 | |
CareSource
| Professional | $66.79 | $74.06 | $90.17 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |
REGUaRD, for topical use only, per sq cm (add-on, list separately in addition to primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $90.17 | $90.17 | $90.17 | |
CareSource
| Professional | $66.79 | $74.06 | $90.17 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |