| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,650.96 | $1,807.19 | $2,201.28 | |
Martin's Point
| Facility | $1,650.96 | $2,163.48 | $8,167.40 |
Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,650.96 | $1,807.19 | $2,201.28 | |
Martin's Point
| Facility | $1,650.96 | $2,163.48 | $8,167.40 |