| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,390.81 | $1,390.81 | $9,500.00 | |
Aetna
| Facility | 52 | $695.41 | $695.41 | $695.41 |
Medica
| Facility | $1,390.81 | $1,966.17 | $2,780.14 |
Revision of total knee arthroplasty, with or without allograft; 1 component
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,390.81 | $1,390.81 | $9,500.00 | |
Aetna
| Facility | 52 | $695.41 | $695.41 | $695.41 |
Medica
| Facility | $1,390.81 | $1,966.17 | $2,780.14 |