| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.00 | $1,091.68 | $2,250.00 | |
Aetna
| Facility | 54 | $818.76 | $818.76 | $818.76 |
BCBS
| Facility | $592.89 | $717.74 | $965.59 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 |
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.00 | $1,091.68 | $2,250.00 | |
Aetna
| Facility | 54 | $818.76 | $818.76 | $818.76 |
BCBS
| Facility | $592.89 | $717.74 | $965.59 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 |