| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $446.68 | $446.68 | |
Aetna
| Professional | $446.68 | $446.68 | $446.68 | |
Cigna
| Professional | $257.04 | $257.04 | $257.04 | |
Medica
| Facility | $446.68 | $489.78 | $1,096.48 |
Intermittent limb compression device (includes all accessories), not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $446.68 | $446.68 | |
Aetna
| Professional | $446.68 | $446.68 | $446.68 | |
Cigna
| Professional | $257.04 | $257.04 | $257.04 | |
Medica
| Facility | $446.68 | $489.78 | $1,096.48 |