| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $681.65 | $3,471.12 | $4,859.57 | |
Providence
| Facility | $681.65 | $3,471.12 | $4,859.57 |
Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $681.65 | $3,471.12 | $4,859.57 | |
Providence
| Facility | $681.65 | $3,471.12 | $4,859.57 |