| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $349.69 | $380.03 | $589.17 |
Wellcare
| Facility | 54 | $861.85 | $1,715.60 | $1,715.60 |
Closed treatment of knee dislocation; without anesthesia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $349.69 | $380.03 | $589.17 |
Wellcare
| Facility | 54 | $861.85 | $1,715.60 | $1,715.60 |