| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.19 | $3.41 | $14.54 | |
Cigna
| Professional | $2.58 | $2.58 | $2.58 | |
MVP Health Care
| Professional | $2.58 | $2.58 | $2.58 | |
United
| Professional | $1.74 | $4.19 | $21.56 |
Gauze Impregnated Water Or Normal Saline Pad Size More That 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 | $2.19 | $3.41 | $14.54 | |
Cigna
| Professional | $2.58 | $2.58 | $2.58 | |
MVP Health Care
| Professional | $2.58 | $2.58 | $2.58 | |
United
| Professional | $1.74 | $4.19 | $21.56 |