| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.26 | $41.26 | $47.31 | |
Cigna
| Facility | $69.65 | $69.65 | $69.65 | |
Cigna
| Professional | $50.84 | $50.84 | $69.65 | |
United
| Professional | $37.92 | $50.01 | $183.37 |
Orthopedic Shoe Addition Special Extension To Instep (Leather With Eyelets) (Special Coverage Instructions Apply. See Mcm: 2323)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.26 | $41.26 | $47.31 | |
Cigna
| Facility | $69.65 | $69.65 | $69.65 | |
Cigna
| Professional | $50.84 | $50.84 | $69.65 | |
United
| Professional | $37.92 | $50.01 | $183.37 |