| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.39 | $94.39 | $94.39 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $88.62 | $126.60 | $238.69 |
Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2, or each additional 1% of body surface area of infants and children, or part thereof (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.39 | $94.39 | $94.39 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $88.62 | $126.60 | $238.69 |