| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.56 | $78.56 | $89.06 | |
Cigna
| Facility | $119.29 | $119.29 | $119.29 | |
Cigna
| Professional | $87.08 | $87.08 | $87.08 | |
United
| Professional | $78.90 | $95.24 | $143.46 |
Hip orthosis (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.56 | $78.56 | $89.06 | |
Cigna
| Facility | $119.29 | $119.29 | $119.29 | |
Cigna
| Professional | $87.08 | $87.08 | $87.08 | |
United
| Professional | $78.90 | $95.24 | $143.46 |