| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $97.72 | |
Aetna
| Professional | $58.88 | $67.61 | $91.20 | |
BCBS
| Facility | $0.02 | $0.02 | $0.03 | |
Cigna
| Professional | $35.48 | $35.48 | $35.48 |
Orthotic and prosthetic supply, accessory, and/or service component of another HCPCS L code
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $97.72 | |
Aetna
| Professional | $58.88 | $67.61 | $91.20 | |
BCBS
| Facility | $0.02 | $0.02 | $0.03 | |
Cigna
| Professional | $35.48 | $35.48 | $35.48 |