| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $19.95 | $19.95 | |
BCBS
| Professional | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $28.84 | $28.84 | $28.84 |
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
| Professional | $19.95 | $19.95 | $19.95 | |
BCBS
| Professional | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $28.84 | $28.84 | $28.84 |