| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $36.65 | $88.47 | $1,255.63 | |
Medica
| Facility | $34.18 | $68.84 | $245.10 | |
United
| Facility | $20,000.00 | $20,000.00 | $20,000.00 |
Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $36.65 | $88.47 | $1,255.63 | |
Medica
| Facility | $34.18 | $68.84 | $245.10 | |
United
| Facility | $20,000.00 | $20,000.00 | $20,000.00 |