| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.20 | $19.20 | $19.20 | |
Aetna
| Professional | $19.20 | $20.09 | $87.46 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 | |
Horizon BCBS
| Professional | $59.93 | $70.50 | $70.50 |
Sleeve For Intermittent Limb Compression Device, Replacement Only,Each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.20 | $19.20 | $19.20 | |
Aetna
| Professional | $19.20 | $20.09 | $87.46 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 | |
Horizon BCBS
| Professional | $59.93 | $70.50 | $70.50 |