Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.00 | $32.71 | $66.39 | |
Cigna
| Professional | $26.22 | $38.22 | $92.24 | |
MVP Health Care
| Professional | $34.40 | $46.61 | $92.24 | |
United
| Professional | $35.99 | $48.08 | $139.52 |