| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
Cigna
| Professional | $117.89 | $117.89 | $117.89 | |
United
| Professional | $51.76 | $51.76 | $51.76 |
Repair Of Orthotic Device Repair Or Replace Minor Parts (Special Coverage Instructions Apply. See Mcm: 2133 2100.4 2130d)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
Cigna
| Professional | $117.89 | $117.89 | $117.89 | |
United
| Professional | $51.76 | $51.76 | $51.76 |