| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.50 | $32.01 | $34.01 | |
Cigna
| Facility | $48.15 | $48.15 | $48.15 | |
Cigna
| Professional | $35.15 | $35.15 | $48.15 | |
United
| Professional | $23.84 | $35.90 | $53.85 |
Truss Addition To Standard Pad Water Pad (Special Coverage Instructions Apply. See Cim: 70-1 70-2 And Mcm: 2133)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.50 | $32.01 | $34.01 | |
Cigna
| Facility | $48.15 | $48.15 | $48.15 | |
Cigna
| Professional | $35.15 | $35.15 | $48.15 | |
United
| Professional | $23.84 | $35.90 | $53.85 |