| 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 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $6,116.00 | $6,116.00 | $6,116.00 | |
United
| Facility | $4,200.00 | $4,200.00 | $14,634.00 |