| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,888.23 | $1,888.23 | $9,500.00 | |
Aetna
| Facility | 52 | $944.12 | $944.12 | $944.12 |
Medica
| Facility | $1,888.23 | $2,613.94 | $3,487.56 |
Revision of total hip arthroplasty; both components, with or without autograft or allograft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,888.23 | $1,888.23 | $9,500.00 | |
Aetna
| Facility | 52 | $944.12 | $944.12 | $944.12 |
Medica
| Facility | $1,888.23 | $2,613.94 | $3,487.56 |