| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,754.23 | $2,754.23 | $2,754.23 | |
United
| Facility | $2,754.23 | $4,168.69 | $14,125.38 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $2,754.23 | $2,754.23 | $2,754.23 | |
United
| Facility | $2,754.23 | $4,168.69 | $14,125.38 |