| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
University Health Alliance
| Professional | $1,095.30 | $1,095.30 | $1,095.30 |
Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
University Health Alliance
| Professional | $1,095.30 | $1,095.30 | $1,095.30 |