| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $15,931.20 | $15,931.20 | $15,931.20 | |
United
| Facility | $6,934.00 | $6,934.00 | $26,502.00 |
Optx Prox Humrl Fx W/Int Fixj Rpr Tubrst Rplcmt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $15,931.20 | $15,931.20 | $15,931.20 | |
United
| Facility | $6,934.00 | $6,934.00 | $26,502.00 |