| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $903.01 | $2,095.00 | $7,838.38 | |
Providence
| Facility | $822.85 | $1,054.09 | $1,502.80 | |
United
| Facility | $1,657.00 | $21,608.00 | $23,186.00 |
Amputation, leg, through tibia and fibula;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $903.01 | $2,095.00 | $7,838.38 | |
Providence
| Facility | $822.85 | $1,054.09 | $1,502.80 | |
United
| Facility | $1,657.00 | $21,608.00 | $23,186.00 |