| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $14.40 | $14.40 | |
Cigna
| Facility | $34.92 | $34.92 | $34.92 | |
Cigna
| Professional | $5.25 | $5.25 | $5.25 | |
Wellpoint
| Professional | $2,500.00 | $2,500.00 | $2,500.00 |
Upper limb orthosis, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $14.40 | $14.40 | |
Cigna
| Facility | $34.92 | $34.92 | $34.92 | |
Cigna
| Professional | $5.25 | $5.25 | $5.25 | |
Wellpoint
| Professional | $2,500.00 | $2,500.00 | $2,500.00 |