| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,584.89 | $6,606.93 | $11,220.18 | |
Horizon BCBS
| Facility | $14,791.08 | $22,908.68 | $36,307.81 | |
United
| Facility | $4,570.88 | $9,120.11 | $21,379.62 |
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 | $1,584.89 | $6,606.93 | $11,220.18 | |
Horizon BCBS
| Facility | $14,791.08 | $22,908.68 | $36,307.81 | |
United
| Facility | $4,570.88 | $9,120.11 | $21,379.62 |