| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $328.35 | $328.35 | $358.52 |
Medica
| Facility | 54 | $1,551.35 | $1,551.35 | $1,551.35 |
Closed treatment of knee dislocation; without anesthesia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $328.35 | $328.35 | $358.52 |
Medica
| Facility | 54 | $1,551.35 | $1,551.35 | $1,551.35 |