| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $37.15 | $37.15 | |
Aetna
| Professional | $19.05 | $37.15 | $37.15 | |
Cigna
| Professional | $19.50 | $19.50 | $19.50 | |
Medica
| Facility | $32.36 | $61.66 | $87.10 |
Sleeve for intermittent limb compression device, replacement only, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $37.15 | $37.15 | |
Aetna
| Professional | $19.05 | $37.15 | $37.15 | |
Cigna
| Professional | $19.50 | $19.50 | $19.50 | |
Medica
| Facility | $32.36 | $61.66 | $87.10 |