| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $852.88 | $1,238.08 | $2,818.69 | |
Martin's Point
| Facility | $0.90 | $1,238.08 | $9,912.71 |
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obtaining graft), each tendon
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $852.88 | $1,238.08 | $2,818.69 | |
Martin's Point
| Facility | $0.90 | $1,238.08 | $9,912.71 |