| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | 54 | $1,378.64 | $1,378.64 | $1,378.64 |
Closed treatment of distal radioulnar dislocation with manipulation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | 54 | $1,378.64 | $1,378.64 | $1,378.64 |