| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $1.12 | |
Cigna
| Professional | $1.38 | $1.38 | $1.38 | |
HMSA
| Professional | $3.89 | $3.89 | $4.07 | |
United
| Professional | $0.79 | $1.20 | $3.80 |
Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq in, without adhesive border, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $1.12 | |
Cigna
| Professional | $1.38 | $1.38 | $1.38 | |
HMSA
| Professional | $3.89 | $3.89 | $4.07 | |
United
| Professional | $0.79 | $1.20 | $3.80 |