| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $886.86 | $886.86 | $8,500.00 | |
Medica
| Facility | $886.86 | $1,243.82 | $1,631.14 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $886.86 | $886.86 | $8,500.00 | |
Medica
| Facility | $886.86 | $1,243.82 | $1,631.14 |