| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $7.89 | $42.87 | $259.29 | |
Medica
| Facility | $100.29 | $648.54 | $5,000.00 | |
United
| Facility | $500.00 | $2,000.00 | $5,000.00 |
Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $7.89 | $42.87 | $259.29 | |
Medica
| Facility | $100.29 | $648.54 | $5,000.00 | |
United
| Facility | $500.00 | $2,000.00 | $5,000.00 |