| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $40.47 | $40.47 | $50.59 | |
Medcost
| Facility | $22.07 | $22.90 | $22.90 | |
Medcost
| Professional | $22.07 | $42.00 | $64.00 |
Assay Of Dihydromorphinone
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $40.47 | $40.47 | $50.59 | |
Medcost
| Facility | $22.07 | $22.90 | $22.90 | |
Medcost
| Professional | $22.07 | $42.00 | $64.00 |