| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.39 | $741.39 | $8,500.00 | |
Medica
| Facility | $741.39 | $932.39 | $1,317.83 |
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 | $741.39 | $741.39 | $8,500.00 | |
Medica
| Facility | $741.39 | $932.39 | $1,317.83 |