| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.02 | $2.02 | $2.02 | |
Aetna
| Professional | $2.02 | $2.02 | $2.02 | |
Cigna
| Professional | $93.87 | $93.87 | $93.87 | |
Medica
| Facility | $2.02 | $2.02 | $2.50 |
Compression burn garment, foot to knee length, custom fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.02 | $2.02 | $2.02 | |
Aetna
| Professional | $2.02 | $2.02 | $2.02 | |
Cigna
| Professional | $93.87 | $93.87 | $93.87 | |
Medica
| Facility | $2.02 | $2.02 | $2.50 |