| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $676.08 | $676.08 | $676.08 |
Cigna
| Facility | 54 | $562.34 | $562.34 | $562.34 |
Closed treatment of knee dislocation; without anesthesia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $676.08 | $676.08 | $676.08 |
Cigna
| Facility | 54 | $562.34 | $562.34 | $562.34 |
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