| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $6.47 | $6.47 | $6.47 | |
Harvard Pilgrim
| Professional | $7.22 | $7.22 | $10.95 | |
United
| Professional | $7.22 | $7.22 | $7.22 |
Absorptive Wound Dressing For Use With Suction Pump Home Model Portable Pad Size Greater Than 48 Square Inches
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $6.47 | $6.47 | $6.47 | |
Harvard Pilgrim
| Professional | $7.22 | $7.22 | $10.95 | |
United
| Professional | $7.22 | $7.22 | $7.22 |