| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $70.79 | $70.79 | $70.79 | |
Molina
| Professional | $32.36 | $60.26 | $85.11 | |
Providence
| Professional | $70.79 | $70.79 | $70.79 |
Miscellaneous DME supply or accessory, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $70.79 | $70.79 | $70.79 | |
Molina
| Professional | $32.36 | $60.26 | $85.11 | |
Providence
| Professional | $70.79 | $70.79 | $70.79 |