| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.30 | $415.30 | $8,500.00 | |
Medica
| Facility | $415.30 | $680.00 | $784.96 |
Repair, extensor tendon, leg; secondary, with or without graft, each tendon
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.30 | $415.30 | $8,500.00 | |
Medica
| Facility | $415.30 | $680.00 | $784.96 |