| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,706.14 | $3,955.04 | |
United
| Facility | $3,007.00 | $6,315.00 | $12,945.00 |
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 | $3,706.14 | $3,706.14 | $3,955.04 | |
United
| Facility | $3,007.00 | $6,315.00 | $12,945.00 |