| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $5,495.41 | $5,495.41 | |
Kaiser Permanente
| Professional | $630.96 | $707.95 | $891.25 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |
Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $5,495.41 | $5,495.41 | |
Kaiser Permanente
| Professional | $630.96 | $707.95 | $891.25 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |