| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,057.36 | $6,909.67 | $9,374.40 | |
Martin's Point
| Facility | $3,057.36 | $4,320.63 | $9,374.40 |
Tnot Elbow Lateral/Medial Debride Open Tdn Rpr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,057.36 | $6,909.67 | $9,374.40 | |
Martin's Point
| Facility | $3,057.36 | $4,320.63 | $9,374.40 |