| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,001.09 | $4,722.42 | $8,031.00 | |
Anthem BCBS
| Facility | $3,315.00 | $4,735.00 | $11,908.00 | |
United
| Facility | $3,414.00 | $5,950.00 | $9,338.00 |
Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,001.09 | $4,722.42 | $8,031.00 | |
Anthem BCBS
| Facility | $3,315.00 | $4,735.00 | $11,908.00 | |
United
| Facility | $3,414.00 | $5,950.00 | $9,338.00 |