| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.57 | $0.90 | $3.85 | |
Cigna
| Professional | $0.68 | $0.68 | $0.68 | |
MVP Health Care
| Professional | $0.68 | $0.68 | $0.68 | |
United
| Professional | $0.46 | $1.00 | $5.72 |
Gauze, nonimpregnated, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.57 | $0.90 | $3.85 | |
Cigna
| Professional | $0.68 | $0.68 | $0.68 | |
MVP Health Care
| Professional | $0.68 | $0.68 | $0.68 | |
United
| Professional | $0.46 | $1.00 | $5.72 |