| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $2.00 | $2.00 | |
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Cigna
| Facility | $134.90 | $134.90 | $134.90 | |
Cigna
| Professional | $100.00 | $100.00 | $100.00 |
Compression burn garment, foot to thigh length, custom fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $2.00 | $2.00 | |
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Cigna
| Facility | $134.90 | $134.90 | $134.90 | |
Cigna
| Professional | $100.00 | $100.00 | $100.00 |