| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.26 | $1.26 | $2.18 | |
Aetna
| Professional | $1.26 | $1.26 | $1.26 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $125.00 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |
Compres Burn Garment, Noc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.26 | $1.26 | $2.18 | |
Aetna
| Professional | $1.26 | $1.26 | $1.26 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $125.00 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |