| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,202.26 | $1,202.26 | $1,202.26 | |
MountainHealth Co-op
| Facility | $1,258.93 | $1,318.26 | $1,548.82 | |
Providence
| Facility | $776.25 | $1,071.52 | $1,584.89 |
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 | $1,202.26 | $1,202.26 | $1,202.26 | |
MountainHealth Co-op
| Facility | $1,258.93 | $1,318.26 | $1,548.82 | |
Providence
| Facility | $776.25 | $1,071.52 | $1,584.89 |