| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $6.03 | $7.08 | |
Cigna
| Professional | $4.90 | $4.90 | $4.90 | |
MVP Health Care
| Professional | $7.59 | $9.33 | $9.55 | |
United
| Professional | $3.16 | $5.89 | $19.95 |
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 | $2.00 | $6.03 | $7.08 | |
Cigna
| Professional | $4.90 | $4.90 | $4.90 | |
MVP Health Care
| Professional | $7.59 | $9.33 | $9.55 | |
United
| Professional | $3.16 | $5.89 | $19.95 |