| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $147.06 | $177.64 | $795.45 | |
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 | $147.06 | $177.64 | $795.45 | |
United
| Facility | $5,000.00 | $5,000.00 | $5,000.00 |