| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.86 | $182.86 | $182.86 | |
Aetna
| Professional | $182.86 | $182.86 | $182.86 | |
Cigna
| Professional | $6.56 | $179.84 | $179.84 | |
Medica
| Facility | $100.00 | $182.86 | $210.29 |
Repair of prosthetic device, repair or replace minor parts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.86 | $182.86 | $182.86 | |
Aetna
| Professional | $182.86 | $182.86 | $182.86 | |
Cigna
| Professional | $6.56 | $179.84 | $179.84 | |
Medica
| Facility | $100.00 | $182.86 | $210.29 |