| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.66 | $66.64 | $67.20 | |
Cigna
| Facility | $84.33 | $88.85 | $88.85 | |
Cigna
| Professional | $64.86 | $64.86 | $88.85 | |
United
| Professional | $45.86 | $55.35 | $83.38 |
Knee orthosis (KO), elastic with joints, 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 | $45.66 | $66.64 | $67.20 | |
Cigna
| Facility | $84.33 | $88.85 | $88.85 | |
Cigna
| Professional | $64.86 | $64.86 | $88.85 | |
United
| Professional | $45.86 | $55.35 | $83.38 |