| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.91 | $10.00 | $38.90 | |
Cigna
| Professional | $8.51 | $8.51 | $8.51 | |
Medcost
| Facility | $5.01 | $10.00 | $19.50 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.91 | $10.00 | $38.90 | |
Cigna
| Professional | $8.51 | $8.51 | $8.51 | |
Medcost
| Facility | $5.01 | $10.00 | $19.50 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |