| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.85 | $2.86 | $12.25 | |
Cigna
| Professional | $2.17 | $2.17 | $2.17 | |
MVP Health Care
| Professional | $2.17 | $2.17 | $2.17 | |
United
| Professional | $1.47 | $3.18 | $18.18 |
Specialty absorptive 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 | $1.85 | $2.86 | $12.25 | |
Cigna
| Professional | $2.17 | $2.17 | $2.17 | |
MVP Health Care
| Professional | $2.17 | $2.17 | $2.17 | |
United
| Professional | $1.47 | $3.18 | $18.18 |