| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | 54 | $1,551.35 | $1,551.35 | $1,551.35 |
Closed Tx Knee Dislocation W/O Anesthesia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | 54 | $1,551.35 | $1,551.35 | $1,551.35 |