| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $151.36 | $173.78 | $208.93 | |
Providence
| Professional | $60.26 | $79.43 | $79.43 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $151.36 | $173.78 | $208.93 | |
Providence
| Professional | $60.26 | $79.43 | $79.43 |