| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $15,991.20 | $15,991.20 | $16,808.00 |
Amputation for circ sys disorders exc upper limb & toe w/o CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $15,991.20 | $15,991.20 | $16,808.00 |