| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $25,428.60 | $25,428.60 | $25,428.60 | |
Providence
| Facility | $8,366.02 | $8,366.02 | $25,428.60 |
Upper limb & toe amputation for circ system disorders w/o CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $25,428.60 | $25,428.60 | $25,428.60 | |
Providence
| Facility | $8,366.02 | $8,366.02 | $25,428.60 |