| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $1,445.44 | $9,549.93 | |
Medica
| Facility | $1,445.44 | $1,995.26 | $4,365.16 | |
United
| Facility | $1,819.70 | $2,041.74 | $24,547.09 |
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 | $1,445.44 | $1,445.44 | $9,549.93 | |
Medica
| Facility | $1,445.44 | $1,995.26 | $4,365.16 | |
United
| Facility | $1,819.70 | $2,041.74 | $24,547.09 |