| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,434.00 | $2,026.60 | $5,637.16 | |
Aetna
| Facility | 52 | $879.56 | $888.12 | $1,013.30 |
United
| Facility | $2,896.00 | $5,749.00 | $12,000.00 |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,434.00 | $2,026.60 | $5,637.16 | |
Aetna
| Facility | 52 | $879.56 | $888.12 | $1,013.30 |
United
| Facility | $2,896.00 | $5,749.00 | $12,000.00 |