| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.81 | $39.81 | $39.81 | |
BCBS
| Facility | $123.03 | $123.03 | $281.84 | |
BCBS
| Professional | $93.33 | $123.03 | $123.03 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 |
Compression burn garment, glove to axilla, custom fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.81 | $39.81 | $39.81 | |
BCBS
| Facility | $123.03 | $123.03 | $281.84 | |
BCBS
| Professional | $93.33 | $123.03 | $123.03 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 |