| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,365.16 | $9,332.54 | $14,125.38 | |
Horizon BCBS
| Facility | $14,791.08 | $22,908.68 | $36,307.81 | |
United
| Facility | $4,570.88 | $9,120.11 | $21,379.62 |
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 | $4,365.16 | $9,332.54 | $14,125.38 | |
Horizon BCBS
| Facility | $14,791.08 | $22,908.68 | $36,307.81 | |
United
| Facility | $4,570.88 | $9,120.11 | $21,379.62 |