| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.00 | $90.00 | $90.00 | |
Aetna
| Professional | $90.00 | $90.00 | $90.00 | |
Anthem BCBS
| Professional | $150.00 | $150.00 | $150.00 | |
Cigna
| Professional | $90.80 | $90.80 | $90.80 |
Compression Burn Garment Glove To Wrist Custom Fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.00 | $90.00 | $90.00 | |
Aetna
| Professional | $90.00 | $90.00 | $90.00 | |
Anthem BCBS
| Professional | $150.00 | $150.00 | $150.00 | |
Cigna
| Professional | $90.80 | $90.80 | $90.80 |