| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.15 | $21.15 | $21.15 | |
Aetna
| Professional | $21.15 | $28.15 | $37.15 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 | |
Medica
| Facility | $21.15 | $21.15 | $37.15 |
Sleeve for intermittent limb compression device, replacement only, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.15 | $21.15 | $21.15 | |
Aetna
| Professional | $21.15 | $28.15 | $37.15 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 | |
Medica
| Facility | $21.15 | $21.15 | $37.15 |