| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $547.91 | $547.91 | $8,500.00 | |
Medica
| Facility | $547.91 | $754.59 | $987.26 |
Repair Extensor Tendon Distal Insertion W/O Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $547.91 | $547.91 | $8,500.00 | |
Medica
| Facility | $547.91 | $754.59 | $987.26 |