| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.66 | $27.70 | $38.86 | |
Cigna
| Facility | $29.14 | $29.14 | $29.14 | |
Cigna
| Professional | $21.27 | $21.27 | $21.27 | |
United
| Professional | $14.70 | $21.32 | $29.69 |
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with wedge(s), per shoe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.66 | $27.70 | $38.86 | |
Cigna
| Facility | $29.14 | $29.14 | $29.14 | |
Cigna
| Professional | $21.27 | $21.27 | $21.27 | |
United
| Professional | $14.70 | $21.32 | $29.69 |