| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,601.05 | $1,601.05 | $8,500.00 | |
Aetna
| Facility | 52 | $800.53 | $800.53 | $800.53 |
Medica
| Facility | $1,601.05 | $2,244.90 | $3,306.72 |
Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,601.05 | $1,601.05 | $8,500.00 | |
Aetna
| Facility | 52 | $800.53 | $800.53 | $800.53 |
Medica
| Facility | $1,601.05 | $2,244.90 | $3,306.72 |