| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,199.88 | $1,199.88 | $1,199.88 | |
Providence
| Facility | $594.25 | $817.09 | $1,199.88 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $1,199.88 | $1,199.88 | $1,199.88 | |
Providence
| Facility | $594.25 | $817.09 | $1,199.88 |