| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.55 | $24.55 | $30.20 | |
Medcost
| Professional | $12.88 | $26.30 | $30.20 | |
Medcost
| Facility | $13.49 | $13.80 | $13.80 | |
Medcost
| Professional | $13.49 | $13.49 | $33.88 |
Assay Of Phenothiazine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.55 | $24.55 | $30.20 | |
Medcost
| Professional | $12.88 | $26.30 | $30.20 | |
Medcost
| Facility | $13.49 | $13.80 | $13.80 | |
Medcost
| Professional | $13.49 | $13.49 | $33.88 |