| 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 |
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 | $24.57 | $364.34 | $388.63 | |
Medcost
| Facility | $24.57 | $60.38 | $437.21 | |
Wellcare
| Facility | $116.99 | $116.99 | $116.99 |