| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $324.98 | $486.66 | $8,500.00 | |
Medica
| Facility | $324.98 | $486.66 | $974.94 |
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 | $324.98 | $486.66 | $8,500.00 | |
Medica
| Facility | $324.98 | $486.66 | $974.94 |