| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | 54 | $1,163.50 | $1,163.50 | $1,163.50 |
Closed treatment of greater humeral tuberosity fracture; with manipulation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | 54 | $1,163.50 | $1,163.50 | $1,163.50 |