| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $66.07 | $263.03 | |
Kaiser Permanente
| Professional | $138.04 | $138.04 | $138.04 | |
United
| Professional | $64.57 | $138.04 | $223.87 |
Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment of new subcutaneous infusion site(s) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $66.07 | $263.03 | |
Kaiser Permanente
| Professional | $138.04 | $138.04 | $138.04 | |
United
| Professional | $64.57 | $138.04 | $223.87 |