| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,715.35 | $3,981.07 | $3,981.07 | |
United
| Facility | $3,715.35 | $7,413.10 | $13,489.63 |
Amputation, leg, through tibia and fibula; open, circular (guillotine)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,715.35 | $3,981.07 | $3,981.07 | |
United
| Facility | $3,715.35 | $7,413.10 | $13,489.63 |