| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $300.43 | $331.98 | $500.87 |
Wellcare
| Facility | 54 | $767.65 | $1,535.49 | $1,535.49 |
Closed treatment of distal radioulnar dislocation with manipulation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $300.43 | $331.98 | $500.87 |
Wellcare
| Facility | 54 | $767.65 | $1,535.49 | $1,535.49 |