| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $233.16 | $259.17 | $389.27 |
Wellcare
| Facility | 54 | $606.38 | $1,219.88 | $1,219.88 |
Clsd Tx Acromioclavicular Dislc W/Manipulation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $233.16 | $259.17 | $389.27 |
Wellcare
| Facility | 54 | $606.38 | $1,219.88 | $1,219.88 |