| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,243.39 | $10,609.80 | $13,872.88 | |
Moda Health
| Facility | $713.39 | $3,616.96 | $5,063.74 | |
Providence
| Facility | $713.75 | $3,616.96 | $5,063.74 |
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,243.39 | $10,609.80 | $13,872.88 | |
Moda Health
| Facility | $713.39 | $3,616.96 | $5,063.74 | |
Providence
| Facility | $713.75 | $3,616.96 | $5,063.74 |