| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $944.60 | $4,312.00 | $8,344.00 | |
Regence BlueShield
| Facility | $4,684.92 | $6,137.22 | $8,943.69 | |
United
| Facility | $2,155.00 | $6,097.00 | $8,267.00 |
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 | $944.60 | $4,312.00 | $8,344.00 | |
Regence BlueShield
| Facility | $4,684.92 | $6,137.22 | $8,943.69 | |
United
| Facility | $2,155.00 | $6,097.00 | $8,267.00 |