| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.63 | $42.65 | $401.20 | |
BCBS
| Facility | $58.02 | $70.14 | $373.00 | |
Cigna
| Facility | $43.64 | $43.64 | $186.65 | |
United
| Facility | $361.45 | $361.45 | $361.45 |
Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.63 | $42.65 | $401.20 | |
BCBS
| Facility | $58.02 | $70.14 | $373.00 | |
Cigna
| Facility | $43.64 | $43.64 | $186.65 | |
United
| Facility | $361.45 | $361.45 | $361.45 |
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