| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
Wellpoint
| Professional | $16.00 | $16.00 | $16.00 |
Permeaderm glove, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
Wellpoint
| Professional | $16.00 | $16.00 | $16.00 |