| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.60 | $103.17 | $5,634.00 | |
Anthem BCBS
| Facility | $51.10 | $51.10 | $98.62 | |
CareSource
| Facility | $35.06 | $51.06 | $84.05 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |
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 | $36.60 | $103.17 | $5,634.00 | |
Anthem BCBS
| Facility | $51.10 | $51.10 | $98.62 | |
CareSource
| Facility | $35.06 | $51.06 | $84.05 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |