| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $312.89 | $324.93 | $360.88 |
Health Alliance Plan
| Facility | 54 | $312.89 | $312.89 | $347.51 |
Closed treatment of acromioclavicular dislocation; with manipulation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $312.89 | $324.93 | $360.88 |
Health Alliance Plan
| Facility | 54 | $312.89 | $312.89 | $347.51 |