| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $51.00 | |
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
Cigna
| Professional | $3.60 | $3.60 | $3.60 | |
Horizon BCBS
| Professional | $55.25 | $65.00 | $65.00 |
Refill kit for implantable infusion pump
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $51.00 | |
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
Cigna
| Professional | $3.60 | $3.60 | $3.60 | |
Horizon BCBS
| Professional | $55.25 | $65.00 | $65.00 |