| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $5.50 | $6.47 | $6.47 | |
Sentara
| Facility | $70.00 | $100.00 | $100.00 | |
Sentara
| Professional | $70.00 | $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 |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $5.50 | $6.47 | $6.47 | |
Sentara
| Facility | $70.00 | $100.00 | $100.00 | |
Sentara
| Professional | $70.00 | $100.00 | $100.00 |