| 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 | |
Molina
| Professional | $30.00 | $45.00 | $131.81 |
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 | |
Molina
| Professional | $30.00 | $45.00 | $131.81 |