| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $671.20 | $7,838.38 | $8,763.29 | |
Providence
| Facility | $582.58 | $756.97 | $1,805.40 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |
Cross intrinsic transfer, each tendon
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $671.20 | $7,838.38 | $8,763.29 | |
Providence
| Facility | $582.58 | $756.97 | $1,805.40 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |