| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $598.28 | $918.83 | $1,400.00 | |
CareSource
| Facility | $625.63 | $711.56 | $775.26 | |
Cigna
| Facility | $671.22 | $671.22 | $671.22 | |
Cigna
| Facility | AS | $65.95 | $65.95 | $65.95 |
Amputation, leg, through tibia and fibula; open, circular (guillotine)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $598.28 | $918.83 | $1,400.00 | |
CareSource
| Facility | $625.63 | $711.56 | $775.26 | |
Cigna
| Facility | $671.22 | $671.22 | $671.22 | |
Cigna
| Facility | AS | $65.95 | $65.95 | $65.95 |