| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $34.35 | $44.83 | $58.76 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Checkout Orthotic/Prosthetic Estab Pt Ea 15 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $34.35 | $44.83 | $58.76 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |