| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $6,966.00 | $8,499.00 | |
Kaiser Permanente
| Professional | $1,595.53 | $1,740.58 | $2,030.67 | |
United
| Facility | $3,340.00 | $3,340.00 | $3,340.00 |
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 | $2,747.00 | $6,966.00 | $8,499.00 | |
Kaiser Permanente
| Professional | $1,595.53 | $1,740.58 | $2,030.67 | |
United
| Facility | $3,340.00 | $3,340.00 | $3,340.00 |