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 | $40.74 | $66.07 | $66.07 | |
BCBS
| Facility | $1.00 | $107.15 | $169.82 | |
Cigna
| Facility | $177.83 | $251.19 | $588.84 | |
Health Partners
| Facility | $190.55 | $239.88 | $467.74 | |
Medica
| Facility | $51.29 | $95.50 | $724.44 | |
United
| Facility | $977.24 | $1,862.09 | $3,388.44 |