| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.01 | $7.94 | $10.96 | |
Cigna
| Professional | $10.00 | $10.00 | $10.00 | |
HMSA
| Professional | $15.85 | $15.85 | $16.60 | |
United
| Professional | $4.79 | $7.24 | $22.39 |
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 | $5.01 | $7.94 | $10.96 | |
Cigna
| Professional | $10.00 | $10.00 | $10.00 | |
HMSA
| Professional | $15.85 | $15.85 | $16.60 | |
United
| Professional | $4.79 | $7.24 | $22.39 |