| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,835.00 | $6,835.00 | $6,907.00 | |
United
| Facility | $5,170.00 | $5,170.00 | $5,170.00 |
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 | $6,835.00 | $6,835.00 | $6,907.00 | |
United
| Facility | $5,170.00 | $5,170.00 | $5,170.00 |