| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $229.60 | $499.42 | $684.47 |
Lucent Health
| Facility | 54 | $1,134.90 | $1,265.66 | $1,265.66 |
Closed treatment of patellar dislocation; without anesthesia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $229.60 | $499.42 | $684.47 |
Lucent Health
| Facility | 54 | $1,134.90 | $1,265.66 | $1,265.66 |