| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.39 | $11.39 | $13.07 | |
Cigna
| Facility | $15.80 | $15.80 | $15.80 | |
Cigna
| Professional | $11.53 | $11.53 | $15.80 | |
United
| Professional | $11.45 | $13.80 | $23.00 |
Replacement, soft interface material, static AFO
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.39 | $11.39 | $13.07 | |
Cigna
| Facility | $15.80 | $15.80 | $15.80 | |
Cigna
| Professional | $11.53 | $11.53 | $15.80 | |
United
| Professional | $11.45 | $13.80 | $23.00 |