| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,466.84 | $4,466.84 | |
Kaiser Permanente
| Professional | $1,047.13 | $1,174.90 | $1,479.11 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |
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 | $1,778.28 | $4,466.84 | $4,466.84 | |
Kaiser Permanente
| Professional | $1,047.13 | $1,174.90 | $1,479.11 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |