| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $4,466.84 | $4,466.84 | |
Martin's Point
| Facility | $4,466.84 | $4,466.84 | $4,466.84 |
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 | $4,466.84 | $4,466.84 | $4,466.84 | |
Martin's Point
| Facility | $4,466.84 | $4,466.84 | $4,466.84 |