| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.00 | $3.00 | $3.00 | |
Cigna
| Professional | $8.50 | $8.50 | $8.50 | |
Providence
| Facility | $3.00 | $3.00 | $3.00 | |
Providence
| Professional | $8.50 | $8.50 | $2,250,000.00 |
Hydrocolloid Dressing Wound Cover Pad Size More Than 48 Sq. In. With Any Size Adhesive Border Each Dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.00 | $3.00 | $3.00 | |
Cigna
| Professional | $8.50 | $8.50 | $8.50 | |
Providence
| Facility | $3.00 | $3.00 | $3.00 | |
Providence
| Professional | $8.50 | $8.50 | $2,250,000.00 |