| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,853.14 | $1,853.14 | $16,464.43 | |
Anthem BCBS
| Facility | $44,569.01 | $56,593.28 | $65,823.96 | |
Martin's Point
| Facility | $16,464.43 | $16,464.43 | $16,464.43 |
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 | $1,853.14 | $1,853.14 | $16,464.43 | |
Anthem BCBS
| Facility | $44,569.01 | $56,593.28 | $65,823.96 | |
Martin's Point
| Facility | $16,464.43 | $16,464.43 | $16,464.43 |