| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $30.90 | $87.10 | |
Cigna
| Professional | $19.50 | $19.50 | $19.50 |
Sleeve for intermittent limb compression device, replacement only, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $30.90 | $87.10 | |
Cigna
| Professional | $19.50 | $19.50 | $19.50 |