| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $20.60 | $21.83 | |
Cigna
| Facility | $30.59 | $30.59 | $30.59 | |
Cigna
| Professional | $22.33 | $22.33 | $30.59 | |
United
| Professional | $20.80 | $26.02 | $37.36 |
Nipple Prosthesis Prefabricated Reusable Any Type Each (Desc Rvsd 1/1/20)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $20.60 | $21.83 | |
Cigna
| Facility | $30.59 | $30.59 | $30.59 | |
Cigna
| Professional | $22.33 | $22.33 | $30.59 | |
United
| Professional | $20.80 | $26.02 | $37.36 |