| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,762.34 | $1,762.34 | $10,000.00 | |
Medica
| Facility | $1,762.34 | $2,465.85 | $3,611.73 |
Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,762.34 | $1,762.34 | $10,000.00 | |
Medica
| Facility | $1,762.34 | $2,465.85 | $3,611.73 |