| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.08 | $94.00 | $106.53 | |
Cigna
| Facility | $122.31 | $122.31 | $122.31 | |
Cigna
| Professional | $89.29 | $89.29 | $122.31 | |
United
| Professional | $102.89 | $122.10 | $171.66 |
Addition to lower extremity, above knee (AK), pelvic control, sleeve suspension, neoprene or equal, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.08 | $94.00 | $106.53 | |
Cigna
| Facility | $122.31 | $122.31 | $122.31 | |
Cigna
| Professional | $89.29 | $89.29 | $122.31 | |
United
| Professional | $102.89 | $122.10 | $171.66 |