| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.94 | $87.73 | $96.51 | |
Cigna
| Facility | $95.80 | $96.73 | $96.73 | |
Cigna
| Professional | $70.61 | $70.61 | $143.21 | |
United
| Professional | $60.38 | $85.75 | $314.42 |
Knee orthosis (KO), elastic with condylar pads and joints, with or without patellar control, 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 | $66.94 | $87.73 | $96.51 | |
Cigna
| Facility | $95.80 | $96.73 | $96.73 | |
Cigna
| Professional | $70.61 | $70.61 | $143.21 | |
United
| Professional | $60.38 | $85.75 | $314.42 |