| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.83 | $1,258.83 | $8,500.00 | |
Medica
| Facility | $1,258.83 | $1,776.95 | $2,140.01 |
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 | $1,258.83 | $1,258.83 | $8,500.00 | |
Medica
| Facility | $1,258.83 | $1,776.95 | $2,140.01 |