| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $4,677.35 | $8,511.38 | |
Anthem BCBS
| Facility | $3,801.89 | $5,888.44 | $8,128.31 | |
United
| Facility | $1,288.25 | $3,890.45 | $6,760.83 |
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 | $144.54 | $4,677.35 | $8,511.38 | |
Anthem BCBS
| Facility | $3,801.89 | $5,888.44 | $8,128.31 | |
United
| Facility | $1,288.25 | $3,890.45 | $6,760.83 |