| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.03 | $0.03 | $0.03 | |
Aetna
| Professional | $0.03 | $0.03 | $0.06 | |
Cigna
| Professional | $0.50 | $0.50 | $0.50 | |
Medica
| Facility | $0.03 | $0.03 | $0.05 |
Calibrated Microcapillary Tube Each (Special Coverage Instructions Apply. See Mcm: 4270)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.03 | $0.03 | $0.03 | |
Aetna
| Professional | $0.03 | $0.03 | $0.06 | |
Cigna
| Professional | $0.50 | $0.50 | $0.50 | |
Medica
| Facility | $0.03 | $0.03 | $0.05 |