| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $23.84 | $383.59 | $557.19 | |
Medica
| Facility | $32.70 | $444.88 | $896.12 | |
Midlands
| Facility | $30.22 | $84.92 | $637.73 |
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 |
|---|---|---|---|---|---|
Hally Health
| Professional | $23.84 | $383.59 | $557.19 | |
Medica
| Facility | $32.70 | $444.88 | $896.12 | |
Midlands
| Facility | $30.22 | $84.92 | $637.73 |