| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.04 | $9.36 | $40.04 | |
Cigna
| Professional | $7.09 | $7.09 | $7.09 | |
MVP Health Care
| Professional | $7.09 | $7.09 | $7.09 | |
United
| Professional | $4.80 | $11.54 | $59.45 |
Hydrogel dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.04 | $9.36 | $40.04 | |
Cigna
| Professional | $7.09 | $7.09 | $7.09 | |
MVP Health Care
| Professional | $7.09 | $7.09 | $7.09 | |
United
| Professional | $4.80 | $11.54 | $59.45 |