| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.70 | $6.75 | $27.79 | |
Cigna
| Professional | $5.11 | $5.11 | $5.11 | |
MVP Health Care
| Professional | $5.11 | $5.11 | $5.11 | |
United
| Professional | $3.46 | $8.32 | $42.89 |
Perianal Fecal Collection Pouch With Adhesive Each (Special Coverage Instructions Apply. See Mcm: 2130)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.70 | $6.75 | $27.79 | |
Cigna
| Professional | $5.11 | $5.11 | $5.11 | |
MVP Health Care
| Professional | $5.11 | $5.11 | $5.11 | |
United
| Professional | $3.46 | $8.32 | $42.89 |