| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.91 | $138.91 | $138.91 | |
Aetna
| Professional | $138.91 | $138.91 | $138.91 | |
BCBS
| Professional | $142.81 | $160.63 | $173.96 | |
Medica
| Facility | $138.91 | $138.91 | $236.16 |
ArthroFlex, per sq cm (add-on, list separately in addition to primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.91 | $138.91 | $138.91 | |
Aetna
| Professional | $138.91 | $138.91 | $138.91 | |
BCBS
| Professional | $142.81 | $160.63 | $173.96 | |
Medica
| Facility | $138.91 | $138.91 | $236.16 |