| 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 | $2.00 | |
Medica
| Facility | $2.19 | $2.24 | $6.17 | |
Wellmark
| Professional | $8.91 | $8.91 | $8.91 |
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 | $2.00 | |
Medica
| Facility | $2.19 | $2.24 | $6.17 | |
Wellmark
| Professional | $8.91 | $8.91 | $8.91 |