Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; 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 | $239.88 | $2,818.38 | $8,912.51 | |
BCBS
| Facility | $1,445.44 | $3,715.35 | $10,000.00 | |
Cigna
| Facility | $234.42 | $524.81 | $1,318.26 | |
United
| Facility | $295.12 | $1,202.26 | $3,630.78 |
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