| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.81 | $2.81 | $2.81 | |
Aetna
| Professional | $2.81 | $2.81 | $2.81 | |
Cigna
| Professional | $99.00 | $99.00 | $99.00 | |
Medica
| Facility | $2.81 | $2.81 | $3.46 |
Compression burn garment, foot to thigh length, custom fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.81 | $2.81 | $2.81 | |
Aetna
| Professional | $2.81 | $2.81 | $2.81 | |
Cigna
| Professional | $99.00 | $99.00 | $99.00 | |
Medica
| Facility | $2.81 | $2.81 | $3.46 |