| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $742.89 | $8,500.00 | $8,572.61 | |
Medica
| Facility | $742.89 | $995.69 | $1,492.39 |
Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $742.89 | $8,500.00 | $8,572.61 | |
Medica
| Facility | $742.89 | $995.69 | $1,492.39 |