| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $0.38 | $0.56 | $0.56 | |
United
| Professional | $0.20 | $0.22 | $0.22 |
Gauze, nonimpregnated, nonsterile, pad size more than 48 sq in, without adhesive border, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $0.38 | $0.56 | $0.56 | |
United
| Professional | $0.20 | $0.22 | $0.22 |