| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,952.87 | $4,952.87 | $4,952.87 | |
Martin's Point
| Facility | $4,952.87 | $4,952.87 | $4,952.87 |
Osteotomy Clav W/Wo Int Fixj W/Bone Grf Non/Mal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,952.87 | $4,952.87 | $4,952.87 | |
Martin's Point
| Facility | $4,952.87 | $4,952.87 | $4,952.87 |