| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $681.98 | $6,438.00 | $11,298.00 | |
Horizon BCBS
| Facility | $6,365.87 | $6,365.87 | $17,105.68 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |
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 | $681.98 | $6,438.00 | $11,298.00 | |
Horizon BCBS
| Facility | $6,365.87 | $6,365.87 | $17,105.68 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |