| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $43,981.00 | |
UPMC Health Plan
| Facility | $1,225.51 | $1,225.51 | $1,752.94 |
Arthroplasty, knee, hinge prosthesis (eg, Walldius type)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $43,981.00 | |
UPMC Health Plan
| Facility | $1,225.51 | $1,225.51 | $1,752.94 |