| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $39,530.51 | $39,530.51 | $39,530.51 | |
Providence
| Facility | $15,581.11 | $15,581.11 | $39,530.51 |
Upper Limb And Toe Amputation For Circulatory System Disorders With Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $39,530.51 | $39,530.51 | $39,530.51 | |
Providence
| Facility | $15,581.11 | $15,581.11 | $39,530.51 |