| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $240.27 | $357.28 | $827.48 |
Medical Mutual of Ohio
| Facility | 54 | $392.80 | $392.80 | $392.80 |
Closed treatment of acromioclavicular dislocation; with manipulation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $240.27 | $357.28 | $827.48 |
Medical Mutual of Ohio
| Facility | 54 | $392.80 | $392.80 | $392.80 |