| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $19.95 | |
Aetna
| Professional | $19.95 | $19.95 | $19.95 | |
CareFirst
| Professional | $30.20 | $30.20 | $30.20 | |
Cigna
| Professional | $117.49 | $117.49 | $117.49 |
Repair of orthotic device, repair or replace minor parts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $19.95 | |
Aetna
| Professional | $19.95 | $19.95 | $19.95 | |
CareFirst
| Professional | $30.20 | $30.20 | $30.20 | |
Cigna
| Professional | $117.49 | $117.49 | $117.49 |