| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.59 | $4,722.42 | $8,031.00 | |
Anthem BCBS
| Facility | $3,315.00 | $5,646.00 | $7,714.00 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |
Full thickness graft, free, including direct closure of donor site, trunk; each additional 20 sq cm, 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 | $145.59 | $4,722.42 | $8,031.00 | |
Anthem BCBS
| Facility | $3,315.00 | $5,646.00 | $7,714.00 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |