| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $114,109.74 | $114,109.74 | $114,109.74 | |
Providence
| Facility | $48,891.77 | $48,891.77 | $114,109.74 |
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $114,109.74 | $114,109.74 | $114,109.74 | |
Providence
| Facility | $48,891.77 | $48,891.77 | $114,109.74 |