| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.00 | $112.48 | $150.90 | |
Hally Health
| Professional | $85.00 | $100.00 | $162.72 | |
Medica
| Facility | $57.93 | $89.21 | $4,055.10 |
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 | $72.00 | $112.48 | $150.90 | |
Hally Health
| Professional | $85.00 | $100.00 | $162.72 | |
Medica
| Facility | $57.93 | $89.21 | $4,055.10 |