| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $586.60 | $923.06 | $2,300.00 | |
CareSource
| Facility | $645.45 | $714.84 | $778.83 | |
Cigna
| Facility | $695.98 | $695.98 | $695.98 |
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 | $586.60 | $923.06 | $2,300.00 | |
CareSource
| Facility | $645.45 | $714.84 | $778.83 | |
Cigna
| Facility | $695.98 | $695.98 | $695.98 |