| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $37.15 | $37.15 | |
Aetna
| Professional | $31.04 | $37.15 | $37.15 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 |
Sleeve For Intermittent Limb Compression Device, Replacement Only,Each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $37.15 | $37.15 | |
Aetna
| Professional | $31.04 | $37.15 | $37.15 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 |