| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $472.00 | $472.00 | $8,500.00 | |
Aetna
| Facility | 54 | $354.00 | $354.00 | $354.00 |
Medica
| Facility | $472.00 | $628.03 | $897.17 |
Treatment of closed elbow dislocation; requiring anesthesia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $472.00 | $472.00 | $8,500.00 | |
Aetna
| Facility | 54 | $354.00 | $354.00 | $354.00 |
Medica
| Facility | $472.00 | $628.03 | $897.17 |