| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $660.69 | $8,511.38 | |
Medica
| Facility | $616.60 | $912.01 | $1,862.09 | |
United
| Facility | $4,677.35 | $5,128.61 | $6,309.57 |
Cross intrinsic transfer, each tendon
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $660.69 | $8,511.38 | |
Medica
| Facility | $616.60 | $912.01 | $1,862.09 | |
United
| Facility | $4,677.35 | $5,128.61 | $6,309.57 |