| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.67 | $26.37 | $26.37 | |
Cigna
| Facility | $30.91 | $30.91 | $30.91 | |
Cigna
| Professional | $22.56 | $22.56 | $30.91 | |
United
| Professional | $20.44 | $31.96 | $43.34 |
Hip orthosis (HO), abduction control of hip joints, flexible, (Frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.67 | $26.37 | $26.37 | |
Cigna
| Facility | $30.91 | $30.91 | $30.91 | |
Cigna
| Professional | $22.56 | $22.56 | $30.91 | |
United
| Professional | $20.44 | $31.96 | $43.34 |