| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,417.89 | $4,387.00 | $8,344.00 | |
Regence BlueShield
| Facility | $10,147.96 | $12,655.20 | $18,168.36 | |
United
| Facility | $2,912.00 | $7,693.00 | $13,847.00 |
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 | $1,417.89 | $4,387.00 | $8,344.00 | |
Regence BlueShield
| Facility | $10,147.96 | $12,655.20 | $18,168.36 | |
United
| Facility | $2,912.00 | $7,693.00 | $13,847.00 |