| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $673.30 | $673.30 | $8,500.00 | |
Aetna
| Facility | 54 | $504.98 | $504.98 | $504.98 |
Medica
| Facility | $673.30 | $901.00 | $1,157.17 |
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $673.30 | $673.30 | $8,500.00 | |
Aetna
| Facility | 54 | $504.98 | $504.98 | $504.98 |
Medica
| Facility | $673.30 | $901.00 | $1,157.17 |