| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $3,235.94 | $3,981.07 | |
United
| Facility | $3,235.94 | $7,413.10 | $15,135.61 |
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 | $2,398.83 | $3,235.94 | $3,981.07 | |
United
| Facility | $3,235.94 | $7,413.10 | $15,135.61 |