Gauze, nonimpregnated, nonsterile, pad size 16 sq in or less, without adhesive border, each dressing
Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
Insurance Carrier
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $112.20 / $158.49
Facility
$4.17
$112.20
$158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.17 / $0.17
Professional
$0.17
$0.17
$0.17
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $0.06
Facility
$0.02
$0.03
$0.06
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.04 / $0.07
Professional
$0.03
$0.04
$0.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.89 / $2.51
Facility
$0.08
$0.89
$2.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.40
Professional
$0.03
$0.03
$0.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.04 / $0.05
Facility
$0.02
$0.04
$0.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $0.05
Professional
$0.02
$0.03
$0.05
See more rates by state
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