| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $109.65 | $177.83 | |
Hally Health
| Professional | $85.11 | $109.65 | $162.18 | |
Medica
| Facility | $57.54 | $64.57 | $4,073.80 |
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 | $72.44 | $109.65 | $177.83 | |
Hally Health
| Professional | $85.11 | $109.65 | $162.18 | |
Medica
| Facility | $57.54 | $64.57 | $4,073.80 |