| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.00 | $50.00 | $50.00 | |
Hally Health
| Professional | $0.51 | $0.54 | $150.00 | |
Medica
| Facility | $50.00 | $56.00 | $89.50 | |
United
| Professional | $68.73 | $68.73 | $84.10 |
Compression Burn Garment Facial Hood Custom Fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.00 | $50.00 | $50.00 | |
Hally Health
| Professional | $0.51 | $0.54 | $150.00 | |
Medica
| Facility | $50.00 | $56.00 | $89.50 | |
United
| Professional | $68.73 | $68.73 | $84.10 |