| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $19.95 | $19.95 | |
Cigna
| Professional | $18.62 | $18.62 | $18.62 | |
HMSA
| Professional | $3.02 | $3.02 | $3.16 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $19.95 | $19.95 | |
Cigna
| Professional | $18.62 | $18.62 | $18.62 | |
HMSA
| Professional | $3.02 | $3.02 | $3.16 |