| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $1,819.70 | $1,819.70 | |
Kaiser Permanente
| Professional | $67.61 | $89.13 | $165.96 | |
United
| Facility | $128.82 | $151.36 | $151.36 |
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 | $0.98 | $1,819.70 | $1,819.70 | |
Kaiser Permanente
| Professional | $67.61 | $89.13 | $165.96 | |
United
| Facility | $128.82 | $151.36 | $151.36 |