| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.04 | $4,365.16 | $8,128.31 | |
Anthem BCBS
| Facility | $3,311.31 | $3,801.89 | $4,786.30 | |
United
| Facility | $1,288.25 | $3,890.45 | $6,760.83 |
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 | $138.04 | $4,365.16 | $8,128.31 | |
Anthem BCBS
| Facility | $3,311.31 | $3,801.89 | $4,786.30 | |
United
| Facility | $1,288.25 | $3,890.45 | $6,760.83 |