| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.00 | $8.00 | $8.00 | |
Cigna
| Professional | $21.00 | $21.00 | $21.00 | |
Medcost
| Facility | $10.40 | $10.40 | $10.40 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Synthetic Resorbable Wound Dressing Sterile Pad Size More Than 16 Sq. In. But Less Than Or Equal To 48 Sq. In. Without Adhesive Border Each Dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.00 | $8.00 | $8.00 | |
Cigna
| Professional | $21.00 | $21.00 | $21.00 | |
Medcost
| Facility | $10.40 | $10.40 | $10.40 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |