| 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 | $1,196.66 | $6,192.69 | $8,669.77 | |
Providence
| Facility | $1,196.66 | $6,192.69 | $8,669.77 |
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)
| 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 | $1,196.66 | $6,192.69 | $8,669.77 | |
Providence
| Facility | $1,196.66 | $6,192.69 | $8,669.77 |