| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.98 | $10.00 | $12.88 | |
Cigna
| Professional | $8.71 | $8.71 | $10.00 | |
MVP Health Care
| Professional | $13.49 | $16.98 | $17.38 | |
United
| Professional | $5.75 | $10.47 | $36.31 |
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 | $3.98 | $10.00 | $12.88 | |
Cigna
| Professional | $8.71 | $8.71 | $10.00 | |
MVP Health Care
| Professional | $13.49 | $16.98 | $17.38 | |
United
| Professional | $5.75 | $10.47 | $36.31 |