| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $582.33 | $582.33 | $8,500.00 | |
Medica
| Facility | $582.33 | $866.57 | $989.96 |
Amputation, leg, through tibia and fibula; open, circular (guillotine)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $582.33 | $582.33 | $8,500.00 | |
Medica
| Facility | $582.33 | $866.57 | $989.96 |