| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $8,303.41 | $14,151.14 | |
Moda Health
| Facility | $473.06 | $2,461.50 | $3,446.10 | |
Providence
| Facility | $473.06 | $2,461.50 | $3,446.10 |
Repair, dislocating peroneal tendons; without fibular osteotomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $8,303.41 | $14,151.14 | |
Moda Health
| Facility | $473.06 | $2,461.50 | $3,446.10 | |
Providence
| Facility | $473.06 | $2,461.50 | $3,446.10 |