| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.78 | $16.78 | $16.78 | |
Medica
| Facility | $16.97 | $16.97 | $23.16 | |
Medica
| Professional | $16.26 | $16.26 | $29.30 | |
United
| Professional | $16.26 | $16.26 | $29.30 |
ALS specialized service disposable supplies; IV drug therapy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.78 | $16.78 | $16.78 | |
Medica
| Facility | $16.97 | $16.97 | $23.16 | |
Medica
| Professional | $16.26 | $16.26 | $29.30 | |
United
| Professional | $16.26 | $16.26 | $29.30 |