| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.66 | $5.88 | $6.48 | |
Cigna
| Professional | $4.88 | $4.88 | $4.88 | |
United
| Professional | $4.33 | $5.50 | $17.53 |
Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq in but less than or equal to 48 sq in, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.66 | $5.88 | $6.48 | |
Cigna
| Professional | $4.88 | $4.88 | $4.88 | |
United
| Professional | $4.33 | $5.50 | $17.53 |