| 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 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 |