| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.57 | $2.44 | $10.44 | |
Cigna
| Professional | $1.85 | $1.85 | $1.85 | |
MVP Health Care
| Professional | $1.85 | $1.85 | $1.85 | |
United
| Professional | $1.25 | $3.01 | $15.53 |
Gauze, nonimpregnated, sterile, 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 | $1.57 | $2.44 | $10.44 | |
Cigna
| Professional | $1.85 | $1.85 | $1.85 | |
MVP Health Care
| Professional | $1.85 | $1.85 | $1.85 | |
United
| Professional | $1.25 | $3.01 | $15.53 |