| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,434.00 | $2,284.50 | $9,477.00 | |
Aetna
| Facility | 52 | $1,049.79 | $1,060.51 | $1,207.95 |
United
| Facility | $3,741.00 | $7,592.00 | $12,000.00 |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,434.00 | $2,284.50 | $9,477.00 | |
Aetna
| Facility | 52 | $1,049.79 | $1,060.51 | $1,207.95 |
United
| Facility | $3,741.00 | $7,592.00 | $12,000.00 |