| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.34 | $33.15 | $47.30 | |
Cigna
| Facility | $35.60 | $35.60 | $35.60 | |
Cigna
| Professional | $25.99 | $25.99 | $42.48 | |
United
| Professional | $19.60 | $26.98 | $41.82 |
For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of Shore A 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.34 | $33.15 | $47.30 | |
Cigna
| Facility | $35.60 | $35.60 | $35.60 | |
Cigna
| Professional | $25.99 | $25.99 | $42.48 | |
United
| Professional | $19.60 | $26.98 | $41.82 |