| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $6,116.00 | $6,116.00 | $6,116.00 | |
United
| Facility | $2,607.00 | $2,607.00 | $10,877.00 |
Capsul Midfoot W/Pst Talotibl Capsul&Tdn Lngth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $6,116.00 | $6,116.00 | $6,116.00 | |
United
| Facility | $2,607.00 | $2,607.00 | $10,877.00 |