| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.08 | $12.88 | $16.98 | |
BCBS
| Professional | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $13.49 | $13.49 | $16.22 | |
United
| Professional | $9.55 | $10.72 | $10.72 |
Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.08 | $12.88 | $16.98 | |
BCBS
| Professional | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $13.49 | $13.49 | $16.22 | |
United
| Professional | $9.55 | $10.72 | $10.72 |