| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.68 | $102.68 | $8,500.00 | |
Medica
| Facility | $102.68 | $159.74 | $204.01 |
Transfer or transplant of single tendon (with muscle redirection or rerouting); each additional tendon (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.68 | $102.68 | $8,500.00 | |
Medica
| Facility | $102.68 | $159.74 | $204.01 |