| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $738.04 | $738.04 | $8,500.00 | |
Medica
| Facility | $738.04 | $999.05 | $1,319.40 |
Reconstruction of dislocating patella; (eg, Hauser type procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $738.04 | $738.04 | $8,500.00 | |
Medica
| Facility | $738.04 | $999.05 | $1,319.40 |