| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $1,006.73 | $5,166.02 | $7,232.43 | |
Providence
| Facility | $1,006.73 | $5,166.02 | $7,232.43 |
Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $1,006.73 | $5,166.02 | $7,232.43 | |
Providence
| Facility | $1,006.73 | $5,166.02 | $7,232.43 |