| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $47.86 | $223.87 | |
DeanCare
| Facility | $57.54 | $69.18 | $107.15 | |
Medica
| Facility | $44.67 | $44.67 | $44.67 | |
Quartz
| Professional | $120.23 | $128.82 | $204.17 |
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 | $47.86 | $47.86 | $223.87 | |
DeanCare
| Facility | $57.54 | $69.18 | $107.15 | |
Medica
| Facility | $44.67 | $44.67 | $44.67 | |
Quartz
| Professional | $120.23 | $128.82 | $204.17 |