| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.92 | $25.15 | $27.73 | |
Cigna
| Professional | $20.95 | $20.95 | $20.95 | |
United
| Professional | $18.48 | $23.50 | $75.06 |
Foam dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.92 | $25.15 | $27.73 | |
Cigna
| Professional | $20.95 | $20.95 | $20.95 | |
United
| Professional | $18.48 | $23.50 | $75.06 |