| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,408.09 | $1,408.09 | $1,408.09 | |
Providence
| Facility | $695.10 | $955.76 | $1,530.65 |
Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle), unilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,408.09 | $1,408.09 | $1,408.09 | |
Providence
| Facility | $695.10 | $955.76 | $1,530.65 |