| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.48 | $9.77 | $12.56 | |
Cigna
| Professional | $11.42 | $11.42 | $11.42 | |
United
| Professional | $9.06 | $15.84 | $26.15 |
Foam Dressing Wound Cover Pad Size More Than 16 Sq. In. But Less Than Or Equal To 48 Sq. In. With Any Size Adhesive Border Each Dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.48 | $9.77 | $12.56 | |
Cigna
| Professional | $11.42 | $11.42 | $11.42 | |
United
| Professional | $9.06 | $15.84 | $26.15 |