| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $738.92 | $1,151.61 | $2,300.00 | |
CareSource
| Facility | $799.21 | $891.84 | $971.68 | |
Cigna
| Facility | $855.93 | $855.93 | $855.93 | |
Cigna
| Facility | AS | $85.08 | $85.08 | $85.08 |
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 | $738.92 | $1,151.61 | $2,300.00 | |
CareSource
| Facility | $799.21 | $891.84 | $971.68 | |
Cigna
| Facility | $855.93 | $855.93 | $855.93 | |
Cigna
| Facility | AS | $85.08 | $85.08 | $85.08 |