| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $1.36 | $26.41 | $795.86 | |
United
| Facility | $500.00 | $5,000.00 | $5,000.00 |
Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $1.36 | $26.41 | $795.86 | |
United
| Facility | $500.00 | $5,000.00 | $5,000.00 |