| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,002.13 | $1,002.13 | $8,500.00 | |
Medica
| Facility | $1,002.13 | $1,256.26 | $1,727.46 |
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 | $1,002.13 | $1,002.13 | $8,500.00 | |
Medica
| Facility | $1,002.13 | $1,256.26 | $1,727.46 |