| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $1.00 | |
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Molina
| Professional | $33.11 | $60.26 | $70.79 | |
Providence
| Facility | $1.32 | $1.62 | $4.17 |
Therapeutic agent for urinary catheter irrigation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $1.00 | |
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Molina
| Professional | $33.11 | $60.26 | $70.79 | |
Providence
| Facility | $1.32 | $1.62 | $4.17 |