| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $6,116.00 | $6,116.00 | $6,116.00 | |
United
| Facility | $4,200.00 | $4,200.00 | $14,634.00 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $6,116.00 | $6,116.00 | $6,116.00 | |
United
| Facility | $4,200.00 | $4,200.00 | $14,634.00 |