| 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 | $44.39 | $62.08 | $147.19 |
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 | $44.39 | $62.08 | $147.19 |