| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.26 | $1.26 | $1.26 | |
Aetna
| Professional | $1.26 | $1.26 | $1.26 | |
Cigna
| Professional | $196.48 | $196.48 | $196.48 | |
Molina
| Professional | $30.00 | $177.41 | $329.48 |
Compression Burn Garment Lower Trunk Including Leg Openings (Panty) Custom Fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.26 | $1.26 | $1.26 | |
Aetna
| Professional | $1.26 | $1.26 | $1.26 | |
Cigna
| Professional | $196.48 | $196.48 | $196.48 | |
Molina
| Professional | $30.00 | $177.41 | $329.48 |