| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $373.98 | $373.98 | $405.68 |
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 | $373.98 | $373.98 | $405.68 |
Medica
| Facility | 54 | $1,551.35 | $1,551.35 | $1,551.35 |