| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.56 | $12.56 | $12.56 | |
Aetna
| Professional | $12.56 | $12.56 | $12.56 | |
Medcost
| Facility | $12.56 | $12.56 | $12.56 | |
United
| Professional | $15.36 | $15.36 | $17.26 |
Als Specialized Service Disposable Supplies; Iv Drug Therapy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.56 | $12.56 | $12.56 | |
Aetna
| Professional | $12.56 | $12.56 | $12.56 | |
Medcost
| Facility | $12.56 | $12.56 | $12.56 | |
United
| Professional | $15.36 | $15.36 | $17.26 |