| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $3.55 | $3.55 | $3.89 | |
Cigna
| Professional | $3.80 | $3.80 | $3.80 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $0.28 | $0.37 | $0.76 |
Wound filler, dry form, per g, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $3.55 | $3.55 | $3.89 | |
Cigna
| Professional | $3.80 | $3.80 | $3.80 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $0.28 | $0.37 | $0.76 |