| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $307.13 | $342.04 | $1,301.77 |
Quartz
| Facility | 54 | $1,378.64 | $1,378.64 | $1,378.64 |
Closed Tx Distal Radioulnar Dislocation W/Manj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $307.13 | $342.04 | $1,301.77 |
Quartz
| Facility | 54 | $1,378.64 | $1,378.64 | $1,378.64 |