| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $898.57 | $5,000.27 | $7,838.38 | |
Providence
| Facility | $806.68 | $980.01 | $1,253.42 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |
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 | $898.57 | $5,000.27 | $7,838.38 | |
Providence
| Facility | $806.68 | $980.01 | $1,253.42 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |