| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $86.12 | $222.41 | $780.86 | |
United
| Facility | $7,000.00 | $7,000.00 | $7,000.00 |
Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $86.12 | $222.41 | $780.86 | |
United
| Facility | $7,000.00 | $7,000.00 | $7,000.00 |