| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,785.51 | $7,500.00 | $16,190.11 | |
Cigna
| Professional | $3,467.91 | $3,467.91 | $3,467.91 | |
Martin's Point
| Professional | $3,785.51 | $7,500.00 | $16,190.11 |
Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,785.51 | $7,500.00 | $16,190.11 | |
Cigna
| Professional | $3,467.91 | $3,467.91 | $3,467.91 | |
Martin's Point
| Professional | $3,785.51 | $7,500.00 | $16,190.11 |