| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $2,041.74 | $3,890.45 | |
United
| Facility | $3,715.35 | $7,762.47 | $19,498.45 |
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 | $1,698.24 | $2,041.74 | $3,890.45 | |
United
| Facility | $3,715.35 | $7,762.47 | $19,498.45 |