| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $643.00 | $643.00 | $8,500.00 | |
Medica
| Facility | $643.00 | $888.91 | $1,093.09 |
Amputation, leg, through tibia and fibula; re-amputation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $643.00 | $643.00 | $8,500.00 | |
Medica
| Facility | $643.00 | $888.91 | $1,093.09 |