| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.02 | $7.94 | $10.00 | |
Cigna
| Professional | $7.08 | $7.08 | $8.13 | |
MVP Health Care
| Professional | $10.96 | $13.49 | $13.80 | |
United
| Professional | $4.57 | $8.51 | $28.84 |
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 | $3.02 | $7.94 | $10.00 | |
Cigna
| Professional | $7.08 | $7.08 | $8.13 | |
MVP Health Care
| Professional | $10.96 | $13.49 | $13.80 | |
United
| Professional | $4.57 | $8.51 | $28.84 |