| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $42.66 | $53.70 | $218.78 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Pacific Source
| Facility | $52.48 | $79.43 | $83.18 |
Appl Mltlayr Compres System Upper & Lower Arm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $42.66 | $53.70 | $218.78 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Pacific Source
| Facility | $52.48 | $79.43 | $83.18 |