| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.04 | $61.11 | $794.99 | |
Lucent Health
| Facility | $110.49 | $116.99 | $116.99 | |
United
| Facility | $619.27 | $619.27 | $619.27 |
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 | $23.04 | $61.11 | $794.99 | |
Lucent Health
| Facility | $110.49 | $116.99 | $116.99 | |
United
| Facility | $619.27 | $619.27 | $619.27 |