| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $40.00 | $40.00 | |
Aetna
| Professional | $40.00 | $40.00 | $40.00 | |
Cigna
| Professional | $139.72 | $139.72 | $139.72 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
Compression Burn Garment Glove To Axilla Custom Fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $40.00 | $40.00 | |
Aetna
| Professional | $40.00 | $40.00 | $40.00 | |
Cigna
| Professional | $139.72 | $139.72 | $139.72 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |