| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,188.06 | $1,688.00 | $9,034.00 | |
United
| Facility | $1,565.00 | $2,828.00 | $6,957.00 |
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 | $1,188.06 | $1,688.00 | $9,034.00 | |
United
| Facility | $1,565.00 | $2,828.00 | $6,957.00 |