| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $9,120.11 | $14,791.08 | |
Martin's Point
| Facility | $245.47 | $9,120.11 | $14,791.08 |
Revision of total hip arthroplasty; femoral component only, with or without allograft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $9,120.11 | $14,791.08 | |
Martin's Point
| Facility | $245.47 | $9,120.11 | $14,791.08 |