| 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, sterile, 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 |