| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $491.11 | $491.11 | $8,500.00 | |
Medica
| Facility | $491.11 | $725.36 | $1,027.58 |
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 | $491.11 | $491.11 | $8,500.00 | |
Medica
| Facility | $491.11 | $725.36 | $1,027.58 |