| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.73 | $41.75 | $47.29 | |
Cigna
| Facility | $60.21 | $60.21 | $60.21 | |
Cigna
| Professional | $43.95 | $43.95 | $60.21 | |
United
| Professional | $45.67 | $53.34 | $76.20 |
Addition to lower extremity, above knee (AK) or knee disarticulation, pelvic band
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.73 | $41.75 | $47.29 | |
Cigna
| Facility | $60.21 | $60.21 | $60.21 | |
Cigna
| Professional | $43.95 | $43.95 | $60.21 | |
United
| Professional | $45.67 | $53.34 | $76.20 |