| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $623.57 | $10,704.28 | $10,974.12 | |
Martin's Point
| Facility | $10,704.28 | $10,704.28 | $10,974.12 |
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $623.57 | $10,704.28 | $10,974.12 | |
Martin's Point
| Facility | $10,704.28 | $10,704.28 | $10,974.12 |