| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.00 | $17.00 | $17.00 | |
Aetna
| Professional | $17.00 | $17.00 | $182.86 | |
Cigna
| Professional | $5.30 | $179.84 | $179.84 | |
Molina
| Professional | $8.32 | $14.43 | $60.00 |
Repair Of Prosthetic Device Repair Or Replace Minor Parts (Updated 01-01-2003)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.00 | $17.00 | $17.00 | |
Aetna
| Professional | $17.00 | $17.00 | $182.86 | |
Cigna
| Professional | $5.30 | $179.84 | $179.84 | |
Molina
| Professional | $8.32 | $14.43 | $60.00 |