| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $181.97 | $181.97 | |
Moda Health
| Facility | $50.12 | $181.97 | $4,897.79 | |
Providence
| Facility | $50.12 | $3,311.31 | $5,128.61 |
Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; each additional 9% total body surface area or part thereof (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $181.97 | $181.97 | |
Moda Health
| Facility | $50.12 | $181.97 | $4,897.79 | |
Providence
| Facility | $50.12 | $3,311.31 | $5,128.61 |