| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.37 | $927.00 | $2,250.00 | |
BCBS
| Facility | $2,607.25 | $3,164.02 | $4,256.62 | |
United
| Facility | $241.00 | $850.00 | $1,323.00 |
Epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.37 | $927.00 | $2,250.00 | |
BCBS
| Facility | $2,607.25 | $3,164.02 | $4,256.62 | |
United
| Facility | $241.00 | $850.00 | $1,323.00 |