| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $20.00 | |
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
Cigna
| Professional | $28.91 | $28.91 | $28.91 | |
Horizon BCBS
| Professional | $13.81 | $16.25 | $16.25 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq in, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $20.00 | |
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
Cigna
| Professional | $28.91 | $28.91 | $28.91 | |
Horizon BCBS
| Professional | $13.81 | $16.25 | $16.25 |