| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HealthNet
| Facility | $758.58 | $758.58 | $20,892.96 | |
Kaiser Permanente
| Facility | $199.53 | $199.53 | $338.84 |
Medical/Surgical Supplies and Devices-Prosthetic/Orthotic Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HealthNet
| Facility | $758.58 | $758.58 | $20,892.96 | |
Kaiser Permanente
| Facility | $199.53 | $199.53 | $338.84 |