| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.97 | $12.18 | $14.88 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $11.42 | $11.42 | $14.31 | |
United
| Professional | $8.41 | $9.31 | $9.31 |
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 | $10.97 | $12.18 | $14.88 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $11.42 | $11.42 | $14.31 | |
United
| Professional | $8.41 | $9.31 | $9.31 |