| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $8,303.41 | $13,413.92 | |
Moda Health
| Facility | $396.31 | $2,053.21 | $2,874.49 | |
Providence
| Facility | $396.31 | $2,053.21 | $2,874.49 |
Repair, extensor tendon, leg; secondary, with or without graft, each tendon
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $8,303.41 | $13,413.92 | |
Moda Health
| Facility | $396.31 | $2,053.21 | $2,874.49 | |
Providence
| Facility | $396.31 | $2,053.21 | $2,874.49 |