| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.20 | $1.20 | $1.20 | |
Aetna
| Professional | $1.13 | $1.37 | $1.94 | |
Cigna
| Professional | $1.38 | $1.38 | $1.38 | |
United
| Professional | $0.91 | $2.10 | $2.27 |
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
| Facility | $1.20 | $1.20 | $1.20 | |
Aetna
| Professional | $1.13 | $1.37 | $1.94 | |
Cigna
| Professional | $1.38 | $1.38 | $1.38 | |
United
| Professional | $0.91 | $2.10 | $2.27 |