| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.15 | $2.15 | $2.15 | |
Aetna
| Professional | $1.69 | $2.15 | $2.80 | |
BCBS
| Professional | $2.20 | $2.75 | $2.91 | |
Cigna
| Professional | $1.89 | $1.89 | $1.89 |
Gauze Non-Impregnated Pad Size More Than 48 Sq. In. With Any Size Adhesive Border Each Dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.15 | $2.15 | $2.15 | |
Aetna
| Professional | $1.69 | $2.15 | $2.80 | |
BCBS
| Professional | $2.20 | $2.75 | $2.91 | |
Cigna
| Professional | $1.89 | $1.89 | $1.89 |