| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $7,023.05 | $7,023.05 | $7,023.05 | |
Cigna
| Professional | $7,154.25 | $7,154.25 | $8,942.81 | |
Kaiser Permanente
| Professional | $16,026.00 | $16,026.00 | $16,026.00 |
Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $7,023.05 | $7,023.05 | $7,023.05 | |
Cigna
| Professional | $7,154.25 | $7,154.25 | $8,942.81 | |
Kaiser Permanente
| Professional | $16,026.00 | $16,026.00 | $16,026.00 |