| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $1,513.56 | $4,168.69 | |
BCBS
| Facility | $0.02 | $891.25 | $1,548.82 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
United
| Facility | $208.93 | $512.86 | $1,258.93 |
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 | $158.49 | $1,513.56 | $4,168.69 | |
BCBS
| Facility | $0.02 | $891.25 | $1,548.82 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
United
| Facility | $208.93 | $512.86 | $1,258.93 |