| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $12,616.00 | $12,616.00 | $13,260.40 |
Upper limb & toe amputation for circ system disorders w/o CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $12,616.00 | $12,616.00 | $13,260.40 |