| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $866.55 | $866.55 | $1,038.23 | |
Providence
| Professional | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 | |
United
| Professional | $1,475.14 | $1,475.14 | $1,475.14 |
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 | |
Providence
| Professional | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 | |
United
| Professional | $1,475.14 | $1,475.14 | $1,475.14 |