| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $8.88 | $32.08 | $58.00 | |
BCBS
| Professional | $22.20 | $29.60 | $40.33 | |
Cigna
| Professional | $0.80 | $0.80 | $0.80 | |
Medica
| Facility | $100.00 | $100.00 | $149.05 |
Unlisted procedure for miscellaneous prosthetic services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $8.88 | $32.08 | $58.00 | |
BCBS
| Professional | $22.20 | $29.60 | $40.33 | |
Cigna
| Professional | $0.80 | $0.80 | $0.80 | |
Medica
| Facility | $100.00 | $100.00 | $149.05 |