| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.00 | $50.00 | $50.00 | |
Providence
| Facility | $50.00 | $50.00 | $50.00 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |
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 | |
Providence
| Facility | $50.00 | $50.00 | $50.00 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |