| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,682.23 | $2,682.23 | $2,682.23 | |
Sentara
| Facility | $138.00 | $1,291.00 | $10,945.00 | |
Sentara
| Professional | $138.00 | $1,291.00 | $10,945.00 |
Upper extremity prosthesis, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,682.23 | $2,682.23 | $2,682.23 | |
Sentara
| Facility | $138.00 | $1,291.00 | $10,945.00 | |
Sentara
| Professional | $138.00 | $1,291.00 | $10,945.00 |