| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $2.00 | |
Cigna
| Professional | $1.29 | $1.51 | $1.51 | |
MVP Health Care
| Professional | $2.34 | $2.88 | $2.95 | |
United
| Professional | $1.00 | $1.82 | $6.17 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq in or less, without adhesive border, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $2.00 | |
Cigna
| Professional | $1.29 | $1.51 | $1.51 | |
MVP Health Care
| Professional | $2.34 | $2.88 | $2.95 | |
United
| Professional | $1.00 | $1.82 | $6.17 |