| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,763.29 | |
Providence
| Facility | $970.18 | $1,111.79 | $1,617.90 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |
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 | $1,000.00 | $7,838.38 | $8,763.29 | |
Providence
| Facility | $970.18 | $1,111.79 | $1,617.90 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |