| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $17.42 | $120.34 | $424.04 | |
Qualchoice
| Facility | $16.38 | $139.86 | $533.61 | |
United
| Facility | $5,000.00 | $5,000.00 | $5,000.00 |
Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $17.42 | $120.34 | $424.04 | |
Qualchoice
| Facility | $16.38 | $139.86 | $533.61 | |
United
| Facility | $5,000.00 | $5,000.00 | $5,000.00 |