| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $10.45 | $21.71 | $41.27 | |
BCBS
| Professional | $6.84 | $7.49 | $9.72 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $10.45 | $21.71 | $41.27 | |
BCBS
| Professional | $6.84 | $7.49 | $9.72 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |