| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.07 | $59.18 | $59.18 | |
Cigna
| Facility | $67.14 | $67.14 | $76.52 | |
Cigna
| Professional | $49.01 | $49.01 | $76.52 | |
United
| Professional | $40.72 | $52.15 | $191.22 |
Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.07 | $59.18 | $59.18 | |
Cigna
| Facility | $67.14 | $67.14 | $76.52 | |
Cigna
| Professional | $49.01 | $49.01 | $76.52 | |
United
| Professional | $40.72 | $52.15 | $191.22 |