| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $492.62 | $768.29 | $2,300.00 | |
CareSource
| Facility | $536.04 | $594.98 | $648.24 | |
Cigna
| Facility | $575.83 | $575.83 | $575.83 | |
Cigna
| Facility | AS | $57.12 | $57.12 | $57.12 |
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $492.62 | $768.29 | $2,300.00 | |
CareSource
| Facility | $536.04 | $594.98 | $648.24 | |
Cigna
| Facility | $575.83 | $575.83 | $575.83 | |
Cigna
| Facility | AS | $57.12 | $57.12 | $57.12 |