| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $667.50 | $667.50 | $8,500.00 | |
Medica
| Facility | $667.50 | $1,027.51 | $1,144.84 |
Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $667.50 | $667.50 | $8,500.00 | |
Medica
| Facility | $667.50 | $1,027.51 | $1,144.84 |