| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $7,154.25 | $7,154.25 | $8,942.81 | |
Hometown Health
| Professional | $5,729.13 | $8,184.47 | $14,322.82 | |
United
| Professional | $20,870.40 | $20,870.40 | $20,870.40 |
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 |
|---|---|---|---|---|---|
Cigna
| Professional | $7,154.25 | $7,154.25 | $8,942.81 | |
Hometown Health
| Professional | $5,729.13 | $8,184.47 | $14,322.82 | |
United
| Professional | $20,870.40 | $20,870.40 | $20,870.40 |