| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $80.00 | $100.00 | $100.00 |
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 |
|---|---|---|---|---|---|
Medica
| Facility | $80.00 | $100.00 | $100.00 |