| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.41 | $891.41 | $1,244.50 | |
Martin's Point
| Facility | $891.41 | $891.41 | $21,832.60 | |
United
| Facility | $14,287.46 | $14,287.46 | $14,287.46 |
Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, capsulotomy and open reduction) for carpal instability
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.41 | $891.41 | $1,244.50 | |
Martin's Point
| Facility | $891.41 | $891.41 | $21,832.60 | |
United
| Facility | $14,287.46 | $14,287.46 | $14,287.46 |