| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $50.12 | $50.12 | |
Anthem BCBS
| Professional | $1.23 | $1.23 | $1.38 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Molina
| Professional | $44.67 | $44.67 | $1,995.26 |
Synthetic resorbable wound dressing, sterile, pad size 16 sq in or less, without adhesive border, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $50.12 | $50.12 | |
Anthem BCBS
| Professional | $1.23 | $1.23 | $1.38 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Molina
| Professional | $44.67 | $44.67 | $1,995.26 |