| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,301.55 | $8,646.91 | $15,458.40 | |
Martin's Point
| Facility | $3,301.55 | $8,646.91 | $15,458.40 |
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 | $3,301.55 | $8,646.91 | $15,458.40 | |
Martin's Point
| Facility | $3,301.55 | $8,646.91 | $15,458.40 |