| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $9,772.37 | $20,892.96 | |
Moda Health
| Facility | $676.08 | $1,174.90 | $5,011.87 | |
Providence
| Facility | $691.83 | $1,148.15 | $3,981.07 |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell, Goldwaite type procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $9,772.37 | $20,892.96 | |
Moda Health
| Facility | $676.08 | $1,174.90 | $5,011.87 | |
Providence
| Facility | $691.83 | $1,148.15 | $3,981.07 |