| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $562.34 | |
BCBS
| Facility | $562.34 | $1,202.26 | $2,041.74 | |
Providence
| Facility | $24.55 | $33.88 | $630.96 | |
United
| Facility | $794.33 | $1,778.28 | $1,778.28 |
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 | $33.88 | $33.88 | $562.34 | |
BCBS
| Facility | $562.34 | $1,202.26 | $2,041.74 | |
Providence
| Facility | $24.55 | $33.88 | $630.96 | |
United
| Facility | $794.33 | $1,778.28 | $1,778.28 |