| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.50 | $7.50 | $7.50 | |
Aetna
| Professional | $7.50 | $7.50 | $7.50 | |
Cigna
| Professional | $4.37 | $4.37 | $4.37 | |
Molina
| Professional | $30.00 | $30.00 | $45.00 |
Composite Dressing Pad Size More Than 48 Sq. In. With Any Size Adhesive Border Each Dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.50 | $7.50 | $7.50 | |
Aetna
| Professional | $7.50 | $7.50 | $7.50 | |
Cigna
| Professional | $4.37 | $4.37 | $4.37 | |
Molina
| Professional | $30.00 | $30.00 | $45.00 |