| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $26.92 | $26.92 | $109.65 |
Appl Mltlayr Compres System Upper & Lower Arm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $26.92 | $26.92 | $109.65 |