| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.17 | $6.49 | $27.66 | |
Cigna
| Professional | $4.88 | $4.88 | $4.88 | |
MVP Health Care
| Professional | $4.88 | $4.88 | $4.88 | |
United
| Professional | $3.32 | $7.22 | $41.09 |
Gauze Impregnated Hydrogel For Direct Wound Contact 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 | $4.17 | $6.49 | $27.66 | |
Cigna
| Professional | $4.88 | $4.88 | $4.88 | |
MVP Health Care
| Professional | $4.88 | $4.88 | $4.88 | |
United
| Professional | $3.32 | $7.22 | $41.09 |