| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $473.87 | $2,400.75 | $3,361.05 | |
Providence
| Facility | $473.87 | $2,400.75 | $3,361.05 |
Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $473.87 | $2,400.75 | $3,361.05 | |
Providence
| Facility | $473.87 | $2,400.75 | $3,361.05 |