| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.58 | $68.13 | $78.59 | |
Cigna
| Facility | $37.95 | $37.95 | $37.95 | |
Cigna
| Professional | $27.70 | $37.95 | $37.95 | |
United
| Professional | $45.68 | $64.29 | $92.37 |
Lift Elevation Heel And Sole Cork Per Inch (Special Coverage Instructions Apply. See Mcm: 2323)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.58 | $68.13 | $78.59 | |
Cigna
| Facility | $37.95 | $37.95 | $37.95 | |
Cigna
| Professional | $27.70 | $37.95 | $37.95 | |
United
| Professional | $45.68 | $64.29 | $92.37 |