| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $775.92 | $775.92 | $775.92 | |
Martin's Point
| Facility | $775.92 | $775.92 | $775.92 |
Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $775.92 | $775.92 | $775.92 | |
Martin's Point
| Facility | $775.92 | $775.92 | $775.92 |