| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $545.00 | $2,803.84 | $3,925.38 | |
Providence
| Facility | $545.00 | $2,803.84 | $3,925.38 |
Amputation, leg, through tibia and fibula; secondary closure or scar revision
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $545.00 | $2,803.84 | $3,925.38 | |
Providence
| Facility | $545.00 | $2,803.84 | $3,925.38 |