| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.23 | $63.23 | $92.90 | |
Cigna
| Facility | $88.85 | $88.85 | $88.85 | |
Cigna
| Professional | $64.86 | $64.86 | $88.85 | |
United
| Professional | $58.13 | $76.64 | $107.37 |
Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.23 | $63.23 | $92.90 | |
Cigna
| Facility | $88.85 | $88.85 | $88.85 | |
Cigna
| Professional | $64.86 | $64.86 | $88.85 | |
United
| Professional | $58.13 | $76.64 | $107.37 |