| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $1,288.25 | $7,413.10 | |
Kaiser Permanente
| Professional | $56.23 | $109.65 | $489.78 | |
United
| Facility | $676.08 | $1,479.11 | $2,691.53 |
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 | $69.18 | $1,288.25 | $7,413.10 | |
Kaiser Permanente
| Professional | $56.23 | $109.65 | $489.78 | |
United
| Facility | $676.08 | $1,479.11 | $2,691.53 |