| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.61 | $65.61 | $74.34 | |
Cigna
| Facility | $99.32 | $99.32 | $99.32 | |
Cigna
| Professional | $72.50 | $72.50 | $99.32 | |
United
| Professional | $71.81 | $85.22 | $132.55 |
Addition, endoskeletal system, above knee (AK) or hip disarticulation, knee extension assist
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.61 | $65.61 | $74.34 | |
Cigna
| Facility | $99.32 | $99.32 | $99.32 | |
Cigna
| Professional | $72.50 | $72.50 | $99.32 | |
United
| Professional | $71.81 | $85.22 | $132.55 |