| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.50 | $2,747.00 | $2,898.00 | |
Kaiser Permanente
| Professional | $49.96 | $76.42 | $90.31 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 |
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 | $864.50 | $2,747.00 | $2,898.00 | |
Kaiser Permanente
| Professional | $49.96 | $76.42 | $90.31 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 |