| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.39 | $4.04 | $4.90 | |
Cigna
| Facility | $3.96 | $3.96 | $3.96 | |
Cigna
| Professional | $3.37 | $3.37 | $4.88 | |
United
| Professional | $2.19 | $3.29 | $4.94 |
Leg Strap; Latex Replacement Only Per Set (Special Coverage Instructions Apply. See Mcm: 2130)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.39 | $4.04 | $4.90 | |
Cigna
| Facility | $3.96 | $3.96 | $3.96 | |
Cigna
| Professional | $3.37 | $3.37 | $4.88 | |
United
| Professional | $2.19 | $3.29 | $4.94 |