| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $42.00 | $42.00 | $46.20 | |
BCBS
| Professional | $40.00 | $40.00 | $40.00 | |
Cigna
| Professional | $0.80 | $0.80 | $0.80 | |
Molina
| Professional | $20.00 | $20.00 | $40.00 |
Unlisted procedure for miscellaneous prosthetic services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $42.00 | $42.00 | $46.20 | |
BCBS
| Professional | $40.00 | $40.00 | $40.00 | |
Cigna
| Professional | $0.80 | $0.80 | $0.80 | |
Molina
| Professional | $20.00 | $20.00 | $40.00 |