| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $64,999.99 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $38.90 | $38.90 | $675.63 | |
Providence
| Facility | $23.56 | $38.90 | $539.17 | |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $64,999.99 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $38.90 | $38.90 | $675.63 | |
Providence
| Facility | $23.56 | $38.90 | $539.17 | |
United
| Facility | $361.45 | $361.45 | $361.45 |