| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.59 | $6.59 | $14.04 | |
Cigna
| Professional | $11.42 | $11.42 | $11.42 | |
United
| Professional | $8.24 | $28.10 | $31.22 |
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 | $6.59 | $6.59 | $14.04 | |
Cigna
| Professional | $11.42 | $11.42 | $11.42 | |
United
| Professional | $8.24 | $28.10 | $31.22 |