| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $422.59 | $600.15 | $5,000.00 | |
Medica
| Facility | $422.59 | $604.67 | $1,009.62 |
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 | $422.59 | $600.15 | $5,000.00 | |
Medica
| Facility | $422.59 | $604.67 | $1,009.62 |