| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.03 | $8.91 | $14.13 | |
Cigna
| Professional | $11.48 | $11.48 | $19.95 | |
United
| Professional | $6.31 | $14.13 | $31.62 |
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 | $6.03 | $8.91 | $14.13 | |
Cigna
| Professional | $11.48 | $11.48 | $19.95 | |
United
| Professional | $6.31 | $14.13 | $31.62 |