| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |