| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $395.05 | $428.26 | $2,500.00 | |
Aetna
| Facility | 54 | $296.29 | $296.29 | $321.20 |
Medica
| Facility | $395.05 | $529.94 | $770.36 |
Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $395.05 | $428.26 | $2,500.00 | |
Aetna
| Facility | 54 | $296.29 | $296.29 | $321.20 |
Medica
| Facility | $395.05 | $529.94 | $770.36 |