| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $6,606.93 | $14,125.38 | |
Moda Health
| Facility | $288.40 | $524.81 | $2,290.87 | |
Providence
| Facility | $288.40 | $524.81 | $2,290.87 |
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $6,606.93 | $14,125.38 | |
Moda Health
| Facility | $288.40 | $524.81 | $2,290.87 | |
Providence
| Facility | $288.40 | $524.81 | $2,290.87 |