| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.24 | $199.33 | $8,500.00 | |
Medica
| Facility | $115.24 | $199.33 | $395.06 |
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.24 | $199.33 | $8,500.00 | |
Medica
| Facility | $115.24 | $199.33 | $395.06 |