| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $769.11 | $6,396.00 | $11,298.00 | |
Horizon BCBS
| Facility | $15,715.96 | $15,917.17 | $33,122.22 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |
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 | $769.11 | $6,396.00 | $11,298.00 | |
Horizon BCBS
| Facility | $15,715.96 | $15,917.17 | $33,122.22 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |