| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.35 | $84.35 | $96.72 | |
Cigna
| Facility | $149.11 | $149.11 | $149.11 | |
Cigna
| Professional | $108.85 | $108.85 | $149.11 | |
United
| Professional | $77.52 | $102.25 | $154.00 |
Foot Insert Removable Molded To Patient Model Silicone Gel Each (Special Coverage Instructions Apply. See Mcm: 2323)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.35 | $84.35 | $96.72 | |
Cigna
| Facility | $149.11 | $149.11 | $149.11 | |
Cigna
| Professional | $108.85 | $108.85 | $149.11 | |
United
| Professional | $77.52 | $102.25 | $154.00 |