| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.61 | $94.33 | $101.55 | |
Cigna
| Facility | $140.85 | $140.85 | $140.85 | |
Cigna
| Professional | $102.82 | $102.82 | $102.82 | |
United
| Professional | $98.08 | $116.39 | $163.63 |
Addition to lower extremity, above knee (AK), pelvic control belt, padded and lined
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.61 | $94.33 | $101.55 | |
Cigna
| Facility | $140.85 | $140.85 | $140.85 | |
Cigna
| Professional | $102.82 | $102.82 | $102.82 | |
United
| Professional | $98.08 | $116.39 | $163.63 |