| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $14.40 | $14.40 | |
Cigna
| Professional | $5.25 | $5.25 | $17.34 | |
Molina
| Professional | $45.00 | $60.00 | $70.00 | |
Providence
| Professional | $5.25 | $5.25 | $17.34 |
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
| Professional | $5.25 | $5.25 | $17.34 | |
Molina
| Professional | $45.00 | $60.00 | $70.00 | |
Providence
| Professional | $5.25 | $5.25 | $17.34 |