| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,145.78 | $7,340.00 | $13,413.92 | |
Moda Health
| Facility | $1,320.72 | $1,888.63 | $2,706.47 | |
Providence
| Facility | $1,320.72 | $1,888.63 | $2,706.47 |
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,145.78 | $7,340.00 | $13,413.92 | |
Moda Health
| Facility | $1,320.72 | $1,888.63 | $2,706.47 | |
Providence
| Facility | $1,320.72 | $1,888.63 | $2,706.47 |