| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.35 | $94.35 | $140.51 | |
Cigna
| Facility | $150.11 | $150.11 | $150.11 | |
Cigna
| Professional | $109.58 | $109.58 | $150.11 | |
United
| Professional | $96.34 | $114.37 | $155.05 |
Pneumatic full leg splint, prefabricated, off-the-shelf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.35 | $94.35 | $140.51 | |
Cigna
| Facility | $150.11 | $150.11 | $150.11 | |
Cigna
| Professional | $109.58 | $109.58 | $150.11 | |
United
| Professional | $96.34 | $114.37 | $155.05 |