| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,090.30 | $5,888.44 | $10,715.19 | |
United
| Facility | $1,412.54 | $3,019.95 | $7,762.47 |
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 | $3,090.30 | $5,888.44 | $10,715.19 | |
United
| Facility | $1,412.54 | $3,019.95 | $7,762.47 |