| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $714.33 | $3,665.20 | $5,131.28 | |
Providence
| Facility | $714.33 | $3,665.20 | $5,131.28 |
Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $714.33 | $3,665.20 | $5,131.28 | |
Providence
| Facility | $714.33 | $3,665.20 | $5,131.28 |