| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $50.12 | $50.12 | |
Kaiser Permanente
| Professional | $1.00 | $1.00 | $1.00 | |
Wellpoint
| Professional | $169.82 | $169.82 | $169.82 |
Compression burn garment, facial hood, custom fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $50.12 | $50.12 | |
Kaiser Permanente
| Professional | $1.00 | $1.00 | $1.00 | |
Wellpoint
| Professional | $169.82 | $169.82 | $169.82 |