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 | $2,218.00 | $3,576.15 | $7,119.04 | |
Hally Health
| Professional | $41.11 | $83.68 | $157.19 | |
Medica
| Facility | $66.26 | $118.00 | $1,607.00 | |
Midlands
| Facility | $96.80 | $133.91 | $217.96 | |
United
| Facility | $1,204.00 | $1,623.00 | $2,126.00 |