| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.27 | $76.08 | $81.90 | |
Cigna
| Facility | $113.00 | $113.00 | $113.00 | |
Cigna
| Professional | $82.49 | $82.49 | $113.00 | |
United
| Professional | $79.09 | $88.00 | $131.97 |
Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.27 | $76.08 | $81.90 | |
Cigna
| Facility | $113.00 | $113.00 | $113.00 | |
Cigna
| Professional | $82.49 | $82.49 | $113.00 | |
United
| Professional | $79.09 | $88.00 | $131.97 |