| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.85 | $5.99 | $25.54 | |
Cigna
| Professional | $4.51 | $4.51 | $4.51 | |
MVP Health Care
| Professional | $4.51 | $4.51 | $4.51 | |
United
| Professional | $3.06 | $7.36 | $37.89 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.85 | $5.99 | $25.54 | |
Cigna
| Professional | $4.51 | $4.51 | $4.51 | |
MVP Health Care
| Professional | $4.51 | $4.51 | $4.51 | |
United
| Professional | $3.06 | $7.36 | $37.89 |