| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.73 | $16.57 | $49.46 | |
CareSource
| Professional | $21.82 | $24.54 | $24.54 | |
Cigna
| Professional | $11.52 | $14.83 | $57.97 | |
United
| Professional | $11.12 | $17.17 | $28.27 |
Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.73 | $16.57 | $49.46 | |
CareSource
| Professional | $21.82 | $24.54 | $24.54 | |
Cigna
| Professional | $11.52 | $14.83 | $57.97 | |
United
| Professional | $11.12 | $17.17 | $28.27 |