| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $4,037.01 | $11,094.30 | |
United
| Facility | $3,649.00 | $6,917.00 | $19,195.00 |
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 | $3,706.14 | $4,037.01 | $11,094.30 | |
United
| Facility | $3,649.00 | $6,917.00 | $19,195.00 |