| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.20 | $112.90 | $112.90 | |
Cigna
| Facility | $106.02 | $106.02 | $127.07 | |
Cigna
| Professional | $92.76 | $92.76 | $92.76 | |
United
| Professional | $77.62 | $98.44 | $154.44 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.20 | $112.90 | $112.90 | |
Cigna
| Facility | $106.02 | $106.02 | $127.07 | |
Cigna
| Professional | $92.76 | $92.76 | $92.76 | |
United
| Professional | $77.62 | $98.44 | $154.44 |