| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,202.71 | $13,413.92 | |
Moda Health
| Facility | $647.05 | $3,281.10 | $4,593.54 | |
Providence
| Facility | $647.05 | $3,281.10 | $4,593.54 |
Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), includes internal fixation, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,202.71 | $13,413.92 | |
Moda Health
| Facility | $647.05 | $3,281.10 | $4,593.54 | |
Providence
| Facility | $647.05 | $3,281.10 | $4,593.54 |