| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $377.81 | $4,791.00 | $9,842.00 | |
Horizon BCBS
| Facility | $15,715.96 | $16,727.22 | $33,122.22 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |
Rpr Extensor Tendon Leg Primary W/O Graft Each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $377.81 | $4,791.00 | $9,842.00 | |
Horizon BCBS
| Facility | $15,715.96 | $16,727.22 | $33,122.22 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |