| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,856.41 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $610.02 | $3,148.51 | $4,407.91 | |
Providence
| Facility | $610.02 | $3,148.51 | $4,407.91 |
Amputation, leg, through tibia and fibula; re-amputation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,856.41 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $610.02 | $3,148.51 | $4,407.91 | |
Providence
| Facility | $610.02 | $3,148.51 | $4,407.91 |