| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.18 | $54.45 | $58.71 | |
Cigna
| Facility | $89.19 | $89.19 | $89.19 | |
Cigna
| Professional | $65.11 | $65.11 | $89.19 | |
United
| Professional | $54.92 | $65.18 | $92.53 |
Addition to lower extremity, below knee (BK), molded distal cushion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.18 | $54.45 | $58.71 | |
Cigna
| Facility | $89.19 | $89.19 | $89.19 | |
Cigna
| Professional | $65.11 | $65.11 | $89.19 | |
United
| Professional | $54.92 | $65.18 | $92.53 |