| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.01 | $60.01 | $63.59 | |
Cigna
| Facility | $56.50 | $56.50 | $56.50 | |
Cigna
| Professional | $41.25 | $41.25 | $56.50 | |
United
| Professional | $68.75 | $95.08 | $163.41 |
Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.01 | $60.01 | $63.59 | |
Cigna
| Facility | $56.50 | $56.50 | $56.50 | |
Cigna
| Professional | $41.25 | $41.25 | $56.50 | |
United
| Professional | $68.75 | $95.08 | $163.41 |