| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $4,466.84 | $4,466.84 | |
BCBS
| Facility | $6,165.95 | $6,165.95 | $6,165.95 | |
United
| Facility | $5,128.61 | $6,165.95 | $18,197.01 |
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 | |
BCBS
| Facility | $6,165.95 | $6,165.95 | $6,165.95 | |
United
| Facility | $5,128.61 | $6,165.95 | $18,197.01 |