| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,729.30 | $14,659.49 | $14,659.49 | |
Aetna
| Facility | 52 | $864.65 | $864.65 | $864.65 |
Medica
| Facility | $1,729.30 | $2,421.15 | $2,939.81 |
Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,729.30 | $14,659.49 | $14,659.49 | |
Aetna
| Facility | 52 | $864.65 | $864.65 | $864.65 |
Medica
| Facility | $1,729.30 | $2,421.15 | $2,939.81 |