| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.62 | $108.62 | $108.62 | |
Aetna
| Professional | $20.09 | $37.15 | $108.62 | |
Anthem BCBS
| Professional | $18.05 | $18.05 | $21.25 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 |
Sleeve for intermittent limb compression device, replacement only, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.62 | $108.62 | $108.62 | |
Aetna
| Professional | $20.09 | $37.15 | $108.62 | |
Anthem BCBS
| Professional | $18.05 | $18.05 | $21.25 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 |