| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.57 | $364.34 | $388.63 | |
Medcost
| Facility | $24.57 | $60.38 | $437.21 | |
Wellcare
| Facility | $116.99 | $116.99 | $116.99 |
Neg Pressure Wound Therapy Non Dme >50 Sq Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.57 | $364.34 | $388.63 | |
Medcost
| Facility | $24.57 | $60.38 | $437.21 | |
Wellcare
| Facility | $116.99 | $116.99 | $116.99 |