| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,449.58 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $796.54 | $4,154.56 | $5,816.38 | |
Providence
| Facility | $796.54 | $4,154.56 | $5,816.38 |
Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,449.58 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $796.54 | $4,154.56 | $5,816.38 | |
Providence
| Facility | $796.54 | $4,154.56 | $5,816.38 |