| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $215.25 | $325.81 | $24,944.19 | |
Martin's Point
| Facility | $24,944.19 | $24,944.19 | $24,944.19 |
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 | $215.25 | $325.81 | $24,944.19 | |
Martin's Point
| Facility | $24,944.19 | $24,944.19 | $24,944.19 |