| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $264.04 | $290.45 | $452.77 |
Cigna
| Facility | 54 | $413.00 | $413.00 | $413.00 |
Closed Tx Patellar Dislocation W/O Anesthesia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $264.04 | $290.45 | $452.77 |
Cigna
| Facility | 54 | $413.00 | $413.00 | $413.00 |
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