| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.62 | $1,793.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $81.86 | $160.16 | $190.70 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |
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 | $71.62 | $1,793.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $81.86 | $160.16 | $190.70 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |