| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $70.79 | $70.79 | $588.84 | |
Providence
| Facility | $70.79 | $107.15 | $588.84 |
Escharotomy; each additional incision (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $70.79 | $70.79 | $588.84 | |
Providence
| Facility | $70.79 | $107.15 | $588.84 |