| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $22.75 | $92.28 | $497.31 | |
Medica
| Facility | $15.60 | $2,000.00 | $5,000.00 | |
United
| Facility | $2,000.00 | $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 | $22.75 | $92.28 | $497.31 | |
Medica
| Facility | $15.60 | $2,000.00 | $5,000.00 | |
United
| Facility | $2,000.00 | $5,000.00 | $5,000.00 |