| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $594.46 | $2,095.00 | $7,838.38 | |
Providence
| Facility | $570.44 | $794.40 | $1,071.00 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |
Amputation Leg Thru Tibia&Fibula Open Circular
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $594.46 | $2,095.00 | $7,838.38 | |
Providence
| Facility | $570.44 | $794.40 | $1,071.00 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |