| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,100.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $758.86 | $1,569.61 | $1,569.61 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 |
Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,100.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $758.86 | $1,569.61 | $1,569.61 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 |