| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,095.00 | $7,838.38 | |
Providence
| Facility | $978.96 | $1,155.00 | $1,518.49 | |
United
| Facility | $899.00 | $11,259.00 | $16,897.00 |
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 | $1,000.00 | $2,095.00 | $7,838.38 | |
Providence
| Facility | $978.96 | $1,155.00 | $1,518.49 | |
United
| Facility | $899.00 | $11,259.00 | $16,897.00 |