| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $2.00 | $2.34 | |
Cigna
| Professional | $1.86 | $1.86 | $1.91 | |
MVP Health Care
| Professional | $2.82 | $3.55 | $3.63 | |
United
| Professional | $1.20 | $2.19 | $7.59 |
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 | $1.00 | $2.00 | $2.34 | |
Cigna
| Professional | $1.86 | $1.86 | $1.91 | |
MVP Health Care
| Professional | $2.82 | $3.55 | $3.63 | |
United
| Professional | $1.20 | $2.19 | $7.59 |