| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.91 | $138.91 | $243.11 | |
Aetna
| Professional | $138.91 | $138.91 | $138.91 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |
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 | $243.11 | |
Aetna
| Professional | $138.91 | $138.91 | $138.91 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |