| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,916.54 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $965.41 | $4,946.56 | $6,925.18 | |
Providence
| Facility | $965.41 | $4,946.56 | $6,925.18 |
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie, gluteus medius, gluteus minimus, tensor fascia latae, rectus femoris, sartorius, iliopsoas)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,916.54 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $965.41 | $4,946.56 | $6,925.18 | |
Providence
| Facility | $965.41 | $4,946.56 | $6,925.18 |