| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,674.74 | $10,175.36 | $13,413.92 | |
Moda Health
| Facility | $464.45 | $2,115.66 | $3,976.56 | |
Providence
| Facility | $540.77 | $2,327.23 | $3,976.56 |
Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,674.74 | $10,175.36 | $13,413.92 | |
Moda Health
| Facility | $464.45 | $2,115.66 | $3,976.56 | |
Providence
| Facility | $540.77 | $2,327.23 | $3,976.56 |