| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.62 | $17.62 | $18.67 | |
Cigna
| Facility | $30.06 | $30.06 | $30.06 | |
Cigna
| Professional | $21.94 | $21.94 | $30.06 | |
United
| Professional | $20.07 | $27.83 | $47.88 |
Orthopedic Shoe Oxford With Supinator Or Pronator Infant (Special Coverage Instructions Apply. See Mcm: 2323)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.62 | $17.62 | $18.67 | |
Cigna
| Facility | $30.06 | $30.06 | $30.06 | |
Cigna
| Professional | $21.94 | $21.94 | $30.06 | |
United
| Professional | $20.07 | $27.83 | $47.88 |