| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $195.51 | $195.51 | $297.83 | |
Sentara
| Facility | $100.00 | $100.00 | $100.00 | |
Sentara
| Professional | $100.00 | $100.00 | $100.00 |
Signature APatch, per sq cm (add-on, list separately in addition to primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $195.51 | $195.51 | $297.83 | |
Sentara
| Facility | $100.00 | $100.00 | $100.00 | |
Sentara
| Professional | $100.00 | $100.00 | $100.00 |