| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $19,054.61 | $30,902.95 | |
Martin's Point
| Facility | $331.13 | $19,054.61 | $30,902.95 |
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 | $331.13 | $19,054.61 | $30,902.95 | |
Martin's Point
| Facility | $331.13 | $19,054.61 | $30,902.95 |