| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $2,754.23 | $7,762.47 | |
Kaiser Permanente
| Professional | $79.43 | $120.23 | $190.55 | |
United
| Facility | $165.96 | $549.54 | $5,888.44 |
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 | $70.79 | $2,754.23 | $7,762.47 | |
Kaiser Permanente
| Professional | $79.43 | $120.23 | $190.55 | |
United
| Facility | $165.96 | $549.54 | $5,888.44 |