| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,166.96 | $1,166.96 | $8,500.00 | |
Medica
| Facility | $1,166.96 | $1,458.43 | $2,011.82 |
Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,166.96 | $1,166.96 | $8,500.00 | |
Medica
| Facility | $1,166.96 | $1,458.43 | $2,011.82 |