| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,986.00 | $6,456.00 | |
Kaiser Permanente
| Professional | $708.75 | $1,469.66 | $1,469.66 | |
United
| Facility | $3,261.00 | $13,107.00 | $40,126.94 |
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 | $1,017.00 | $2,986.00 | $6,456.00 | |
Kaiser Permanente
| Professional | $708.75 | $1,469.66 | $1,469.66 | |
United
| Facility | $3,261.00 | $13,107.00 | $40,126.94 |