| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.98 | $3.07 | $13.12 | |
Cigna
| Professional | $2.31 | $2.31 | $2.31 | |
MVP Health Care
| Professional | $2.31 | $2.31 | $2.31 | |
United
| Professional | $1.57 | $3.78 | $19.48 |
Specialty absorptive 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 | $1.98 | $3.07 | $13.12 | |
Cigna
| Professional | $2.31 | $2.31 | $2.31 | |
MVP Health Care
| Professional | $2.31 | $2.31 | $2.31 | |
United
| Professional | $1.57 | $3.78 | $19.48 |