| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $268.58 | $584.23 | $800.71 |
Lucent Health
| Facility | 54 | $1,378.64 | $1,535.49 | $1,535.49 |
Closed Tx Distal Radioulnar Dislocation W/Manj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $268.58 | $584.23 | $800.71 |
Lucent Health
| Facility | 54 | $1,378.64 | $1,535.49 | $1,535.49 |