Split-thickness 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 | $186.21 | $346.74 | $8,709.64 | |
BCBS
| Facility | $2,691.53 | $8,511.38 | $13,489.63 | |
Providence
| Facility | $154.88 | $251.19 | $389.05 | |
United
| Facility | $229.09 | $1,096.48 | $1,412.54 |