| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.47 | $2.29 | $9.78 | |
Cigna
| Professional | $1.73 | $1.73 | $1.73 | |
MVP Health Care
| Professional | $1.73 | $1.73 | $1.73 | |
United
| Professional | $1.17 | $2.82 | $14.54 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.47 | $2.29 | $9.78 | |
Cigna
| Professional | $1.73 | $1.73 | $1.73 | |
MVP Health Care
| Professional | $1.73 | $1.73 | $1.73 | |
United
| Professional | $1.17 | $2.82 | $14.54 |