| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $21.96 | $30.48 | $81.00 |
Checkout Orthotic/Prosthetic Estab Pt Ea 15 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $21.96 | $30.48 | $81.00 |