| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $504.23 | $504.23 | $8,500.00 | |
Medica
| Facility | $504.23 | $625.90 | $866.72 |
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $504.23 | $504.23 | $8,500.00 | |
Medica
| Facility | $504.23 | $625.90 | $866.72 |