| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,890.45 | $3,890.45 | $3,890.45 | |
Martin's Point
| Facility | $3,890.45 | $3,890.45 | $3,890.45 |
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 | $3,890.45 | $3,890.45 | $3,890.45 | |
Martin's Point
| Facility | $3,890.45 | $3,890.45 | $3,890.45 |