| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $2,754.23 | $3,981.07 | |
United
| Facility | $436.52 | $1,412.54 | $6,456.54 |
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 | $2,089.30 | $2,754.23 | $3,981.07 | |
United
| Facility | $436.52 | $1,412.54 | $6,456.54 |