| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.61 | $0.92 | $1.23 | |
Cigna
| Professional | $1.22 | $1.22 | $1.22 | |
MVP Health Care
| Professional | $1.22 | $1.22 | $1.22 | |
United
| Professional | $0.61 | $1.46 | $6.08 |
Gauze, impregnated, water or normal saline, 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 | $0.61 | $0.92 | $1.23 | |
Cigna
| Professional | $1.22 | $1.22 | $1.22 | |
MVP Health Care
| Professional | $1.22 | $1.22 | $1.22 | |
United
| Professional | $0.61 | $1.46 | $6.08 |