| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,347.92 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $778.33 | $3,982.19 | $5,575.07 | |
Providence
| Facility | $778.33 | $3,982.19 | $5,575.07 |
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep (subfascial), includes autograft, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,347.92 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $778.33 | $3,982.19 | $5,575.07 | |
Providence
| Facility | $778.33 | $3,982.19 | $5,575.07 |