| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $1,268.00 | $2,250.00 | |
BCBS
| Facility | $7,444.66 | $9,034.45 | $12,154.22 | |
United
| Facility | $1,485.00 | $4,121.00 | $7,945.00 |
Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $1,268.00 | $2,250.00 | |
BCBS
| Facility | $7,444.66 | $9,034.45 | $12,154.22 | |
United
| Facility | $1,485.00 | $4,121.00 | $7,945.00 |