| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $4,890.43 | $6,217.87 | $8,019.63 | |
United
| Facility | $755.00 | $4,616.00 | $17,636.00 |
Lvr Altrnsplj Orthotopic Prtl/Whl Don Any Age
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $4,890.43 | $6,217.87 | $8,019.63 | |
United
| Facility | $755.00 | $4,616.00 | $17,636.00 |