| 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 | |
Medica
| Facility | $37.15 | $61.31 | $70.59 |
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 | |
Medica
| Facility | $37.15 | $61.31 | $70.59 |