| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.23 | $5,695.00 | $10,871.00 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |
Amputation, leg, through tibia and fibula; open, circular (guillotine)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.23 | $5,695.00 | $10,871.00 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |