| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $471.93 | $3,678.93 | $3,678.93 | |
Medica
| Facility | $471.93 | $806.92 | $904.75 |
Rpr Flexor Tendon Leg Secondary W/O Graft Each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $471.93 | $3,678.93 | $3,678.93 | |
Medica
| Facility | $471.93 | $806.92 | $904.75 |