| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.73 | $102.50 | $102.50 | |
Cigna
| Facility | $106.63 | $106.63 | $121.71 | |
Cigna
| Professional | $77.84 | $77.84 | $121.71 | |
United
| Professional | $70.54 | $93.01 | $130.29 |
Walking boot, nonpneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.73 | $102.50 | $102.50 | |
Cigna
| Facility | $106.63 | $106.63 | $121.71 | |
Cigna
| Professional | $77.84 | $77.84 | $121.71 | |
United
| Professional | $70.54 | $93.01 | $130.29 |