| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.12 | $0.12 | $0.12 | |
Medica
| Facility | $0.20 | $0.20 | $0.33 |
Microcapillary Tube Sealant (Special Coverage Instructions Apply. See Mcm: 4270)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.12 | $0.12 | $0.12 | |
Medica
| Facility | $0.20 | $0.20 | $0.33 |