| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $5,082.01 | $6,738.03 | $9,012.75 | |
United
| Facility | $303.00 | $362.00 | $1,109.00 |
Lvr Altrnsplj Orthotopic Prtl/Whl Don Any Age
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $5,082.01 | $6,738.03 | $9,012.75 | |
United
| Facility | $303.00 | $362.00 | $1,109.00 |