| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $714.70 | $714.70 | $8,500.00 | |
Medica
| Facility | $714.70 | $1,214.99 | $1,342.73 |
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 | $714.70 | $714.70 | $8,500.00 | |
Medica
| Facility | $714.70 | $1,214.99 | $1,342.73 |