| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,089.64 | $1,089.64 | $8,500.00 | |
Medica
| Facility | $1,089.64 | $1,453.03 | $1,860.59 |
Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,089.64 | $1,089.64 | $8,500.00 | |
Medica
| Facility | $1,089.64 | $1,453.03 | $1,860.59 |