| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
BCBS
| Facility | $123.70 | $123.70 | $123.70 | |
Cigna
| Facility | $71.88 | $71.88 | $71.88 | |
MVP Health Care
| Facility | $71.88 | $71.88 | $71.88 |
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 | |
BCBS
| Facility | $123.70 | $123.70 | $123.70 | |
Cigna
| Facility | $71.88 | $71.88 | $71.88 | |
MVP Health Care
| Facility | $71.88 | $71.88 | $71.88 |