| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,388.44 | $5,888.44 | $10,715.19 | |
Horizon BCBS
| Facility | $1,348.96 | $2,041.74 | $3,311.31 | |
United
| Facility | $1,412.54 | $2,884.03 | $7,762.47 |
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 | $3,388.44 | $5,888.44 | $10,715.19 | |
Horizon BCBS
| Facility | $1,348.96 | $2,041.74 | $3,311.31 | |
United
| Facility | $1,412.54 | $2,884.03 | $7,762.47 |