| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $8.19 | $155.44 | $310.08 | |
United
| Facility | $4,000.00 | $4,000.00 | $4,000.00 |
Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $8.19 | $155.44 | $310.08 | |
United
| Facility | $4,000.00 | $4,000.00 | $4,000.00 |