| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.23 | $1,230.00 | $3,500.00 | |
BCBS
| Facility | $829.71 | $1,183.39 | $1,662.27 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |
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 | $80.23 | $1,230.00 | $3,500.00 | |
BCBS
| Facility | $829.71 | $1,183.39 | $1,662.27 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |