| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.52 | $17.07 | $18.82 | |
Cigna
| Professional | $14.22 | $14.22 | $14.22 | |
United
| Professional | $12.54 | $15.94 | $50.93 |
Foam dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.52 | $17.07 | $18.82 | |
Cigna
| Professional | $14.22 | $14.22 | $14.22 | |
United
| Professional | $12.54 | $15.94 | $50.93 |