| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $15.28 | $56.94 | $381.91 | |
Medica
| Facility | $1,750.00 | $1,750.00 | $2,000.00 | |
United
| Facility | $1,750.00 | $1,750.00 | $2,000.00 |
Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $15.28 | $56.94 | $381.91 | |
Medica
| Facility | $1,750.00 | $1,750.00 | $2,000.00 | |
United
| Facility | $1,750.00 | $1,750.00 | $2,000.00 |