| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $866.55 | $866.55 | $1,038.23 | |
Kaiser Permanente
| Professional | $1,695.00 | $2,191.00 | $2,641.00 |
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 |
|---|---|---|---|---|---|
Cigna
| Professional | $866.55 | $866.55 | $1,038.23 | |
Kaiser Permanente
| Professional | $1,695.00 | $2,191.00 | $2,641.00 |