| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,576.47 | $8,016.64 | $13,174.11 | |
Martin's Point
| Facility | $6,533.10 | $9,772.09 | $15,947.97 | |
United
| Facility | $14,287.46 | $14,287.46 | $14,287.46 |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,576.47 | $8,016.64 | $13,174.11 | |
Martin's Point
| Facility | $6,533.10 | $9,772.09 | $15,947.97 | |
United
| Facility | $14,287.46 | $14,287.46 | $14,287.46 |