| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.00 | $210.00 | $493.50 | |
Horizon BCBS
| Facility | $935.50 | $971.34 | $1,104.38 |
Neg Pressure Wound Therapy Non Dme >50 Sq Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.00 | $210.00 | $493.50 | |
Horizon BCBS
| Facility | $935.50 | $971.34 | $1,104.38 |