| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.26 | $0.28 | $0.35 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $0.33 | $0.60 | $0.60 | |
United
| Professional | $0.20 | $0.22 | $0.22 |
Gauze, nonimpregnated, 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 | $0.26 | $0.28 | $0.35 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $0.33 | $0.60 | $0.60 | |
United
| Professional | $0.20 | $0.22 | $0.22 |