| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $50.00 | $86.57 | |
Aetna
| Professional | $50.00 | $50.00 | $50.00 | |
Anthem BCBS
| Professional | $79.00 | $98.51 | $170.00 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |
Compression burn garment, facial hood, custom fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $50.00 | $86.57 | |
Aetna
| Professional | $50.00 | $50.00 | $50.00 | |
Anthem BCBS
| Professional | $79.00 | $98.51 | $170.00 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |