| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $5.25 | $5.25 | $5.25 |
Upper limb orthosis, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $5.25 | $5.25 | $5.25 |