| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.17 | $210.00 | $337.21 | |
CareSource
| Facility | $23.09 | $28.11 | $31.68 | |
Cigna
| Facility | $39.60 | $39.60 | $39.60 | |
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 | $24.17 | $210.00 | $337.21 | |
CareSource
| Facility | $23.09 | $28.11 | $31.68 | |
Cigna
| Facility | $39.60 | $39.60 | $39.60 | |
United
| Facility | $361.45 | $361.45 | $361.45 |