| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $15,488.17 | $27,542.29 | $32,359.37 | |
Cigna
| Facility | $17,782.79 | $21,379.62 | $41,686.94 | |
Harvard Pilgrim
| Facility | $25,118.86 | $25,118.86 | $25,118.86 |
Amputation for circ sys disorders exc upper limb & toe w/o CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $15,488.17 | $27,542.29 | $32,359.37 | |
Cigna
| Facility | $17,782.79 | $21,379.62 | $41,686.94 | |
Harvard Pilgrim
| Facility | $25,118.86 | $25,118.86 | $25,118.86 |