| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $30.00 | $30.00 | |
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
Cigna
| Professional | $19.32 | $19.32 | $19.32 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 |
For diabetics only deluxe feature of off-the-shelf depth-inlayshoe/custom-molded p/shoe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $30.00 | $30.00 | |
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
Cigna
| Professional | $19.32 | $19.32 | $19.32 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 |