| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.63 | $48.18 | $380.00 | |
BCBS
| Professional | $35.00 | $43.00 | $77.00 | |
Cigna
| Professional | $17.28 | $37.17 | $69.55 | |
United
| Professional | $37.97 | $44.75 | $44.75 |
Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.63 | $48.18 | $380.00 | |
BCBS
| Professional | $35.00 | $43.00 | $77.00 | |
Cigna
| Professional | $17.28 | $37.17 | $69.55 | |
United
| Professional | $37.97 | $44.75 | $44.75 |