| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.02 | $0.03 | $0.08 | |
Cigna
| Professional | $0.03 | $0.03 | $0.03 | |
MVP Health Care
| Professional | $0.03 | $0.03 | $0.03 | |
United
| Professional | $0.02 | $0.05 | $0.23 |
Gauze, nonimpregnated, nonsterile, pad size 16 sq in or less, without adhesive border, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.02 | $0.03 | $0.08 | |
Cigna
| Professional | $0.03 | $0.03 | $0.03 | |
MVP Health Care
| Professional | $0.03 | $0.03 | $0.03 | |
United
| Professional | $0.02 | $0.05 | $0.23 |