| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $2,747.00 | $5,484.00 | |
Kaiser Permanente
| Professional | $1,133.32 | $1,236.34 | $1,442.41 | |
United
| Facility | $2,912.00 | $2,912.00 | $2,912.00 |
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 | $1,924.00 | $2,747.00 | $5,484.00 | |
Kaiser Permanente
| Professional | $1,133.32 | $1,236.34 | $1,442.41 | |
United
| Facility | $2,912.00 | $2,912.00 | $2,912.00 |