| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $919.89 | $5,695.00 | $10,871.00 | |
United
| Facility | $3,159.00 | $8,979.00 | $23,041.00 |
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 | $919.89 | $5,695.00 | $10,871.00 | |
United
| Facility | $3,159.00 | $8,979.00 | $23,041.00 |