| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.28 | $102.46 | $102.46 | |
Cigna
| Facility | $142.94 | $142.94 | $142.94 | |
Cigna
| Professional | $104.35 | $104.35 | $142.94 | |
United
| Professional | $82.67 | $124.21 | $207.01 |
Hip-knee-ankle-foot orthosis (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.28 | $102.46 | $102.46 | |
Cigna
| Facility | $142.94 | $142.94 | $142.94 | |
Cigna
| Professional | $104.35 | $104.35 | $142.94 | |
United
| Professional | $82.67 | $124.21 | $207.01 |