| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,312.98 | $2,312.98 | $2,312.98 | |
Providence
| Facility | $1,144.76 | $1,574.05 | $2,312.98 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $2,312.98 | $2,312.98 | $2,312.98 | |
Providence
| Facility | $1,144.76 | $1,574.05 | $2,312.98 |