| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.36 | $10.56 | $11.64 | |
Cigna
| Professional | $8.78 | $8.78 | $8.78 | |
United
| Professional | $7.75 | $11.08 | $31.50 |
Hydrogel dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.36 | $10.56 | $11.64 | |
Cigna
| Professional | $8.78 | $8.78 | $8.78 | |
United
| Professional | $7.75 | $11.08 | $31.50 |