| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $12.00 | $12.00 | $12.51 | |
Medcost
| Professional | $12.51 | $13.27 | $34.00 |
Drug Scr Qual 1 Drug Class Meth Ea Drug Class
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $12.00 | $12.00 | $12.51 | |
Medcost
| Professional | $12.51 | $13.27 | $34.00 |