| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,430.00 | $14,430.00 | $14,430.00 | |
Cigna
| Facility | $21,504.33 | $21,504.33 | $21,504.33 |
Upper limb & toe amputation for circ system disorders w/o CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,430.00 | $14,430.00 | $14,430.00 | |
Cigna
| Facility | $21,504.33 | $21,504.33 | $21,504.33 |