| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.43 | $12.43 | $109.51 | |
Cigna
| Professional | $15.97 | $30.30 | $55.78 | |
Molina
| Professional | $17.44 | $25.32 | $36.58 | |
United
| Professional | $17.39 | $18.94 | $27.63 |
Ratchet Assembly Replacement Only (Desc Revised 01/01/2017)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.43 | $12.43 | $109.51 | |
Cigna
| Professional | $15.97 | $30.30 | $55.78 | |
Molina
| Professional | $17.44 | $25.32 | $36.58 | |
United
| Professional | $17.39 | $18.94 | $27.63 |