| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.67 | $5.67 | $11.75 | |
Cigna
| Professional | $9.90 | $9.90 | $9.90 | |
HMSA
| Professional | $15.95 | $16.70 | $16.70 | |
United
| Professional | $6.90 | $11.16 | $26.69 |
Disposable drug delivery system, flow rate of less than 50 ml per hour
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.67 | $5.67 | $11.75 | |
Cigna
| Professional | $9.90 | $9.90 | $9.90 | |
HMSA
| Professional | $15.95 | $16.70 | $16.70 | |
United
| Professional | $6.90 | $11.16 | $26.69 |