| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $1,096.48 | $1,737.80 | |
BCBS
| Facility | $512.86 | $616.60 | $831.76 | |
United
| Facility | $251.19 | $549.54 | $1,348.96 |
Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; each additional 100 sq cm, or part thereof, or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $1,096.48 | $1,737.80 | |
BCBS
| Facility | $512.86 | $616.60 | $831.76 | |
United
| Facility | $251.19 | $549.54 | $1,348.96 |