| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.97 | $29.61 | $34.15 | |
Cigna
| Facility | $30.06 | $30.06 | $30.06 | |
Cigna
| Professional | $21.94 | $30.06 | $30.06 | |
United
| Professional | $19.84 | $27.83 | $40.13 |
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 | $21.97 | $29.61 | $34.15 | |
Cigna
| Facility | $30.06 | $30.06 | $30.06 | |
Cigna
| Professional | $21.94 | $30.06 | $30.06 | |
United
| Professional | $19.84 | $27.83 | $40.13 |