| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $41.69 | $562.34 | |
BCBS
| Facility | $77.62 | $218.78 | $616.60 | |
Hally Health
| Professional | $31.62 | $398.11 | $588.84 | |
United
| Facility | $602.56 | $977.24 | $1,412.54 |
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 | $28.18 | $41.69 | $562.34 | |
BCBS
| Facility | $77.62 | $218.78 | $616.60 | |
Hally Health
| Professional | $31.62 | $398.11 | $588.84 | |
United
| Facility | $602.56 | $977.24 | $1,412.54 |