| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $39.81 | $39.81 | $39.81 | |
United
| Professional | $34.67 | $39.81 | $60.26 |
NOC for parenteral supplies
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $39.81 | $39.81 | $39.81 | |
United
| Professional | $34.67 | $39.81 | $60.26 |