| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
Anthem BCBS
| Professional | $40.00 | $40.00 | $40.00 | |
Well Sense
| Professional | $58.22 | $2,875.00 | $4,410.00 |
Home infusion/specialty drug administration, per visit (up to 2 hours); 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 | $30.00 | $30.00 | $30.00 | |
Anthem BCBS
| Professional | $40.00 | $40.00 | $40.00 | |
Well Sense
| Professional | $58.22 | $2,875.00 | $4,410.00 |