| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $6.47 | $6.47 | $12.42 | |
Harvard Pilgrim
| Professional | $7.22 | $7.22 | $7.22 | |
United
| Professional | $7.22 | $7.22 | $7.22 |
Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 sq in
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $6.47 | $6.47 | $12.42 | |
Harvard Pilgrim
| Professional | $7.22 | $7.22 | $7.22 | |
United
| Professional | $7.22 | $7.22 | $7.22 |